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ASHLEY HOUSE

Nursing & Custodial Care Facilities Skilled Nursing Facility Nursing Care, Pediatric

Provider NPI: 1316160955

Organization Information:
Organization Name:  ASHLEY HOUSE
Organization is Subpart
Authorized Official:  KEN  MAAZ  EXECUTIVE DIRECTOR  253-533-9050

Practice Location:
4411 BROWNS POINT BLVD NE  TACOMA, WA 98422-2041 US
Tel: 253-925-9220  Fax: --

Business Mailing Address:
33811 9TH AVE S  FEDERAL WAY, WA 98003-6707 US
Tel: 253-533-9050  Fax: 253-517-7706

NPI Information:
NPI: 1316160955
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3140N1450XNursing & Custodial Care Facilities
Skilled Nursing Facility
Nursing Care, Pediatric

Other Provider Identifiers:

IssuerNumberStateType
9030560WA05



American Medical Association 2012 taxonomy code information

Code: 3140N1450X

Type:

Classification:



Definition:



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