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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3580 PACIFIC AVE TACOMA, WA 98418 US
Tel: 253-798-4500 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310500000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mental Illness | WA | RTF-1077 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
L&I | 146315 | WA | 01 |
7136344 | WA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin