Whalio Doctors

NPI 1568803146

The Mobile Tooth Fairy P.S.

Organisation Assisted Living Facility Puyallup, WA

Practice location

Address
6610 89th Street CT E, Puyallup, WA 98371-6222
Phone
(253) 444-7112

Authorised official

Name
Nicole Lee Fink
Title
President/Owner
Phone
(253) 444-7112

Registered specialties (15)

Assisted Living Facility Primary
Nursing & Custodial Care Facilities Taxonomy 310400000X
Adult Day Care Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QA0600X
Community Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QC1500X
Dental Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QD0000X
Mental Health Clinic/Center (Including Community Mental Health Center)
Ambulatory Health Care Facilities Taxonomy 261QM0801X
State or Local Public Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QP0905X
VA Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QV0200X
Assisted Living Facility (Mental Illness)
Nursing & Custodial Care Facilities Taxonomy 3104A0625X
Assisted Living Facility (Behavioral Disturbances)
Nursing & Custodial Care Facilities Taxonomy 3104A0630X
Mental Illness Intermediate Care Facility
Nursing & Custodial Care Facilities Taxonomy 310500000X
Alzheimer Center (Dementia Center)
Nursing & Custodial Care Facilities Taxonomy 311500000X
Adult Care Home Facility
Nursing & Custodial Care Facilities Taxonomy 311ZA0620X
Nursing Facility/Intermediate Care Facility
Nursing & Custodial Care Facilities Taxonomy 313M00000X
Skilled Nursing Facility
Nursing & Custodial Care Facilities Taxonomy 314000000X
Intellectual Disabilities Intermediate Care Facility
Nursing & Custodial Care Facilities Taxonomy 315P00000X

Registry record

NPI
1568803146
Entity type
Organization
NPI issued
11 Jul 2013
Record last updated
11 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.