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COUNTY OF PIERCE

Intermediate Care Facility, Mental Illness

Tacoma, Washington

Provider NPI: 1134334212

Organization Information:
Organization Name:  COUNTY OF PIERCE


Practice Location:
3580 PACIFIC AVE  TACOMA, WA 98418 US
Tel: 253-798-4500  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310500000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mental Illness
WARTF-1077

Other Provider Identifiers:

IssuerNumberStateType
L&I146315WA01
7136344WA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




INTERMEDIATE CARE JOBS WA - Page 1