# UNIVERSITY PLACE REHABILITATION CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** University Place Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265950422
- **Authorized official:** IRVING BAUMAN (MEMBER/MANAGER)
- **Authorized official phone:** (323) 936-6000

## Contact information

- **Practice address:** 5520 BRIDGEPORT WAY W., UNIVERSITY PLACE, WA 98467
- **Practice address phone:** (253) 566-7166
- **Practice address fax:** (253) 564-8034
- **Mailing address:** 230 N. MARYLAND AVENUE, SUITE 300, GLENDALE, CA 91206
- **Mailing address phone:** (323) 936-6000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/07/2017
- **Last updated:** 09/07/2017