Organization
UNIVERSITY PLACE CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NOLA A DAVIS-MILLER (DIRECTOR OF OPERATIONS)
(253) 566-7166
Entity
Organization
Contact information
Practice address
5520 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98467-2041
(253) 566-7166
(253) 564-8034
Mailing address
5520 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98467-2041
(253) 566-7166
(253) 564-8034
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH 1098
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4110987
—
WA
05
—
NH 1098
—
WA
Enumeration date
06/20/2005
Last updated
07/21/2008
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