# PUYALLUP CARE CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Regency at Puyallup Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699760025
- **Authorized official:** MR. GREGORY J VISLOCKY (EX VP OF FINANCE / PARTNER)
- **Authorized official phone:** (360) 735-7155

## Contact information

- **Practice address:** 516 23RD AVE SE, PUYALLUP, WA 98372-4659
- **Practice address phone:** (253) 845-6631
- **Practice address fax:** (253) 848-1357
- **Mailing address:** 516 23RD AVE SE, PUYALLUP, WA 98372-4659
- **Mailing address phone:** (253) 845-6631
- **Mailing address fax:** (253) 848-1357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH1376 | WA | Yes |

## Other

- **Enumeration date:** 09/12/2005
- **Last updated:** 03/12/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4113767 | — | WA |
| 05 | — | 4114344 | — | WA |