KINGS MANOR ASST MANOR LLC NPI 1467579250

NPI Information

KINGS MANOR ASST MANOR LLC is an assisted living facility in Tacoma, WA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. KINGS MANOR ASST MANOR LLC NPI is 1467579250. The provider is registered as an organization entity type.

The provider's business location address is:

8609 PORTLAND AVE E
TACOMA, WA
ZIP 98445-187
Phone: (253) 538-7222
Fax: (503) 485-1279

The provider's authorized official is Jon Harder .
The authorized official title is President and has the following contact phone number (503) 485-4600.

The CLIA number assigned to this NPI record is 50D2156025 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/25/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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