Organization
GRATEFUL HEARTS CARE HOME LLC
Active
Other names
Grateful Hearts Care Home LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA LALANGAN (RN/RESIDENT MANAGER)
(210) 724-2735
Entity
Organization
Contact information
Practice address
1213 120TH ST S, TACOMA, WA 98444-3801
(206) 347-6080
(253) 948-0194
Mailing address
1213 120TH ST S, TACOMA, WA 98444-3801
(206) 347-6080
(253) 948-0194
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220389301
DSHS
WA
Enumeration date
04/18/2022
Last updated
04/18/2022
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