# HEARTWOOD EXTENDED HEALTH CARE LLC

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

## Provider details

- **NPI number:** 1801896436
- **Authorized official:** MRS. NANCY K. ROWE (ADMINISTRATOR)
- **Authorized official phone:** (253) 472-9027

## Contact information

- **Practice address:** 1649 E 72ND ST, TACOMA, WA 98404-5402
- **Practice address phone:** (253) 472-9027
- **Practice address fax:** (253) 475-8206
- **Mailing address:** 1649 E 72ND ST, TACOMA, WA 98404-5402
- **Mailing address phone:** (253) 472-9027
- **Mailing address fax:** (253) 475-8206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1308 | WA | Yes |

## Other

- **Enumeration date:** 07/26/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4113080 | — | WA |