Regency At Puyallup Rehabilitation Center

LBN: Puyallup Care Center, Inc
Regency At Puyallup Rehabilitation Center is an health care organization with primary practice located at 516 23Rd Ave Se , Puyallup WA 98372-4659. 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. Puyallup Care Center, Inc can be contacted via phone (253) 845-6631, or through Vislocky, Gregory J via phone (360) 735-7155.

Contact Information

Primary practice address
516 23Rd Ave Se Puyallup WA 98372-4659
Phone: (253) 845-6631
Fax: (253) 848-1357
Website:
Map and Directions
Authorized official contact:
Name: Vislocky, Gregory J
Phone: (360) 735-7155

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH1376 Washington

Profile Details

NPI number 1699760025
LBN Legal business name Puyallup Care Center, Inc
DBA Doing business as Regency At Puyallup Rehabilitation Center
Authorized official Vislocky, Gregory J
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2005
Last updated Nov 16th, 2012 - about 13 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 1699760025 NPPES
Washington MEDICAID 4113767
Washington MEDICAID 4114344

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