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Organization
UNIVERSITY PLACE REHABILITATION CENTER, LLC
Active
Organization
UNIVERSITY PLACE REHABILITATION CENTER, LLC
Active
Other names
University Place Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
IRVING BAUMAN (MEMBER/MANAGER)
(323) 936-6000
Entity
Organization
Contact information
Practice address
5520 BRIDGEPORT WAY W., UNIVERSITY PLACE, WA 98467
(253) 566-7166
(253) 564-8034
Mailing address
230 N. MARYLAND AVENUE, SUITE 300, GLENDALE, CA 91206
(323) 936-6000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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