Organization · Type 2 NPI

Georgian Rehab, LLC

Skilled Nursing Facility · Tacoma, WA

NPI number 1508904467 Active

Practice location

630 S Pearl St
Tacoma, WA 98465-2111

Call (253) 671-7300 Map

Mailing address

25117 SW Parkway Ave, Suite F
Wilsonville, OR 97070-9697

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

12 other providers at this address

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NPI record

NPI: 1508904467
Entity type: Organization (Type 2)
Issued: Feb 2, 2007
Last updated: Jan 21, 2025
Status: Active

Other names

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Avamere Transitional Care of Puget Sound · doing business as
Avamere Transitional Care of Puget Sound · doing business as

Authorized official

Karl Miller
CEO
(503) 570-3405

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1508904467

Georgian Rehab, LLC's National Provider Identifier is 1508904467, issued on Feb 2, 2007. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Tacoma, WA. The record was last updated on Jan 21, 2025.