Organization
HEARTWOOD EXTENDED HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY K. ROWE (ADMINISTRATOR)
(253) 472-9027
Entity
Organization
Contact information
Practice address
1649 E 72ND ST, TACOMA, WA 98404-5402
(253) 472-9027
(253) 475-8206
Mailing address
1649 E 72ND ST, TACOMA, WA 98404-5402
(253) 472-9027
(253) 475-8206
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1308
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4113080
—
WA
Enumeration date
07/26/2005
Last updated
08/22/2020
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