Organization
400 29TH STREET NORTHEAST OPERATIONS LLC
Active
Other names
Linden Grove Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T BERG (ASSISTANT SECRETARY)
(505) 468-4742
Entity
Organization
Contact information
Practice address
400 29TH ST NE, PUYALLUP, WA 98372-6774
(253) 840-4400
(253) 840-4411
Mailing address
400 29TH ST NE, PUYALLUP, WA 98372-6774
(253) 840-4400
(253) 840-4411
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000
WA
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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