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Organization
ABC ELDER CARE INC
Active
Organization
ABC ELDER CARE INC
Active
Other names
Silver Creek Adult Family Home
Organization subpart
No
Provider details
NPI number
Authorized official
ROMEO BELOCURA RN (OFFICER)
(253) 315-9184
Entity
Organization
Contact information
Practice address
1130 11TH ST SW, PUYALLUP, WA 98371-6702
(253) 315-9184
Mailing address
11517 36TH ST E, EDGEWOOD, WA 98372-2093
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
163WH0200X
Home Health Registered Nurse
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
02/15/2023
Last updated
03/06/2023
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