Organization
PEDIATRIC INTERIM CARE CENTER, THE NEWBORN NURSERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA DRENNEN (EXECUTIVE DIRECTOR)
(253) 852-5253
Entity
Organization
Contact information
Practice address
328 4TH AVENUE SOUTH, KENT, WA 98032
(253) 852-5253
(253) 852-5728
Mailing address
328 4TH AVENUE SOUTH, KENT, WA 98032
(253) 852-5253
(253) 852-5728
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
601250502
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7042823
—
WA
Enumeration date
03/22/2007
Last updated
06/12/2008
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