# SUMMIT PACIFIC REHABILITATION

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

## Provider details

- **NPI number:** 1902040132
- **Authorized official:** ALICE L COLES (COTA/L)
- **Authorized official phone:** (253) 435-1628

## Contact information

- **Practice address:** 909 MERIDIAN ST S, PUYALLUP, WA 98371-6908
- **Practice address phone:** (253) 435-1628
- **Mailing address:** 909 MERIDIAN ST S, PUYALLUP, WA 98371-6908

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/01/2009
- **Last updated:** 05/01/2009