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Organization
LONG TERM CARE ALTERNATIVES, LLC
Active
Organization
LONG TERM CARE ALTERNATIVES, LLC
Active
Other names
Hermie's Adult Family Home
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GREGORY TATUM LPN (MEMBER)
(253) 539-4520
Entity
Organization
Contact information
Practice address
1421 S 86TH ST, TACOMA, WA 98444-4473
(253) 539-4520
Mailing address
1321 S 90TH ST, TACOMA, WA 98444-3190
(253) 539-4520
(253) 212-9121
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
355700
WA
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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