Organization
VALLEY TERRACE OPERATIONS, LLC
Active
Other names
Life Care Center of Puyallup
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY S. CROSS (ASSISTANT SECRETARY)
(423) 473-5867
Entity
Organization
Contact information
Practice address
511 10TH AVE SE, PUYALLUP, WA 98372-3875
(253) 845-7566
(253) 848-7703
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5751
(423) 339-8342
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH1176
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4111761
—
WA
Enumeration date
05/23/2006
Last updated
09/15/2021
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