# GRATEFUL HEARTS CARE HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grateful Hearts Care Home LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922741818
- **Authorized official:** MARISSA LALANGAN (RN/RESIDENT MANAGER)
- **Authorized official phone:** (210) 724-2735

## Contact information

- **Practice address:** 1213 120TH ST S, TACOMA, WA 98444-3801
- **Practice address phone:** (206) 347-6080
- **Practice address fax:** (253) 948-0194
- **Mailing address:** 1213 120TH ST S, TACOMA, WA 98444-3801
- **Mailing address phone:** (206) 347-6080
- **Mailing address fax:** (253) 948-0194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/18/2022
- **Last updated:** 04/18/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 220389301 | DSHS | WA |