Organization
LAKEWOOD HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRUDYMARIE DEVILLA MSOTR (REHAB MANAGER)
(253) 589-6441
Entity
Organization
Contact information
Practice address
11411 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499
(253) 589-6441
(253) 589-5290
Mailing address
11411 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499
(253) 589-6441
(253) 589-5290
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NA
—
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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