Organization
PUYALLUP CARE CENTER, INC
Active
Other names
Regency at Puyallup Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY J VISLOCKY (EX VP OF FINANCE / PARTNER)
(360) 735-7155
Entity
Organization
Contact information
Practice address
516 23RD AVE SE, PUYALLUP, WA 98372-4659
(253) 845-6631
(253) 848-1357
Mailing address
516 23RD AVE SE, PUYALLUP, WA 98372-4659
(253) 845-6631
(253) 848-1357
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH1376
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4113767
—
WA
05
—
4114344
—
WA
Enumeration date
09/12/2005
Last updated
03/12/2026
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