Manor Care of Lacey Wa, Association
NPI #1952671505 in Lacey, Washington
Provider Information
- NPI Number
- 1952671505
- Entity Type
- Organization
- Organization Name
- Manor Care of Lacey Wa, Association
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 12, 2012
- Last Updated
- Feb 11, 2022
Practice Location
- Address
- 4524 INTELCO LOOP SE
- City
- Lacey
- State
- Washington
- ZIP Code
- 98503-5941
- Phone
- (360) 491-9884
Authorized Official
- Name
- MR. MARTIN D ALLEN
- Title
- DIRECTOR
- Phone
- (419) 252-5734
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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