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Organization

PUGET SOUND HEALTHCARE - OLYMPIA LLC

Active
Other names
Puget Sound Healthcare Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DOV E. JACOBS (MANAGER)
(323) 678-4426
Entity
Organization

Contact information

Practice address
4001 CAPITOL MALL DR SW, OLYMPIA, WA 98502-8657
(360) 754-9792
(360) 754-2455
Mailing address
4001 CAPITOL MALL DRIVE SW, OLYMPIA, WA 98502-8657
(360) 754-9792
(360) 754-2455

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4110102
WA
Enumeration date
11/17/2006
Last updated
08/18/2017
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