Organization
ROCKY BAY HEALTH CARE FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDITH M MOORE RN ADMINISTRATOR (OWNER ADMINISTRATOR)
(253) 884-2277
Entity
Organization
Contact information
Practice address
17526 STATE ROUTE 302 KP N, GIG HARBOR, WA 98329-5672
(253) 884-2277
(253) 884-3328
Mailing address
17526 STATE ROUTE 302 KP N, GIG HARBOR, WA 98329-5672
(253) 884-2277
(253) 884-3328
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
NH822
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4782207
—
WA
Enumeration date
05/21/2007
Last updated
08/22/2020
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