Organization
BELAIR REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARL MILLER JR. (CEO)
(503) 570-3405
Entity
Organization
Contact information
Practice address
630 S PEARL ST, TACOMA, WA 98465-2111
(253) 564-7111
Mailing address
25117 SW PARKWAY AVE, SUITE F, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH1247
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4112470
—
WA
Enumeration date
11/21/2005
Last updated
08/22/2020
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