Organization
LONG TERM CARE ALTERNATIVES, LLC
Active
Other names
Hermie's Adult Family Home
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GREGORY TATUM LPN (MEMBER)
(253) 539-4520
Entity
Organization
Contact information
Practice address
1421 S 86TH ST, TACOMA, WA 98444-4473
(253) 539-4520
Mailing address
1321 S 90TH ST, TACOMA, WA 98444-3190
(253) 539-4520
(253) 212-9121
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
355700
WA
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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