Organization
ABC ELDER CARE INC
Active
Other names
Silver Creek Adult Family Home
Organization subpart
No
Provider details
NPI number
Authorized official
ROMEO BELOCURA RN (OFFICER)
(253) 315-9184
Entity
Organization
Contact information
Practice address
1130 11TH ST SW, PUYALLUP, WA 98371-6702
(253) 315-9184
Mailing address
11517 36TH ST E, EDGEWOOD, WA 98372-2093
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
163WH0200X
Home Health Registered Nurse
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
02/15/2023
Last updated
03/06/2023
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