Promedica Skilled Nursing And Rehabilitation (Lacey)

LBN: Manor Care Of Lacey Wa, Association
Promedica Skilled Nursing And Rehabilitation (Lacey) is an health care organization with primary practice located at 4524 Intelco Loop Se , Lacey WA 98503-5941. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Manor Care Of Lacey Wa, Association can be contacted via phone (360) 491-9884, or through Allen, Martin D via phone (419) 252-5734.

Contact Information

Primary practice address
4524 Intelco Loop Se Lacey WA 98503-5941
Phone: (360) 491-9884
Fax: (360) 459-9836
Website:
Map and Directions
Authorized official contact:
Name: Allen, Martin D
Phone: (419) 252-5734

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X Washington

Profile Details

NPI number 1952671505
LBN Legal business name Manor Care Of Lacey Wa, Association
DBA Doing business as Promedica Skilled Nursing And Rehabilitation (Lacey)
Authorized official Allen, Martin D
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2012
Last updated Feb 11th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952671505 NPPES
Washington MEDICAID 4114484

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