# UNIVERSITY PLACE CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649275140
- **Authorized official:** MS. NOLA A DAVIS-MILLER (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (253) 566-7166

## Contact information

- **Practice address:** 5520 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98467-2041
- **Practice address phone:** (253) 566-7166
- **Practice address fax:** (253) 564-8034
- **Mailing address:** 5520 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98467-2041
- **Mailing address phone:** (253) 566-7166
- **Mailing address fax:** (253) 564-8034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH 1098 | WA | Yes |

## Other

- **Enumeration date:** 06/20/2005
- **Last updated:** 07/21/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4110987 | — | WA |
| 05 | — | NH 1098 | — | WA |