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Organization
LACEY NURSING CENTER, INC.
Active
Organization
LACEY NURSING CENTER, INC.
Active
Other names
Roo-Lan Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BURTON C. LEVEE (ADMINISTRATOR/OWNER)
(360) 491-1765
Entity
Organization
Contact information
Practice address
1505 CARPENTER RD SE, LACEY, WA 98503-2906
(360) 491-1765
(360) 491-1891
Mailing address
1505 CARPENTER RD SE, LACEY, WA 98503-2906
(360) 491-1765
(360) 491-1891
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4172904
—
WA
Enumeration date
09/21/2005
Last updated
08/22/2020
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