Organization
6TH AVENUE SENIOR LIVING, LLC
Active
Other names
Northwest Retirement Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANELLE RYAN (ACCOUNTING MANAGER)
(253) 222-0658
Entity
Organization
Contact information
Practice address
610 N FIFE ST, TACOMA, WA 98406-7209
(253) 272-8600
Mailing address
11939 NW PIONEER RD, SEABECK, WA 98380-9008
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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