Organization
MONTEVERA PEARL RESIDENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN MONTENEGRO DE VERA RN (ADMINISTRATOR)
(253) 881-7680
Entity
Organization
Contact information
Practice address
815 S PEARL ST, TACOMA, WA 98465-2117
(253) 881-7680
Mailing address
8007 51ST AVE SW, LAKEWOOD, WA 98499-4051
(253) 881-7680
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/29/2025
Last updated
01/14/2026
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