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Ricardo Ware
Adult Care Home Facility in Puyallup, Washington
NPI 1679331573

Ricardo Ware is an Adult Care Home Facility based in Graham, WA and is specialized in Adult Care Home. Ricardo Ware practices in Puyallup, WA. The NPI Number for Ricardo Ware is 1679331573 and holds a License No. 757030 (Washington).

The current practice location address for Ricardo Ware is 17321 136Th Avenue Ct E, Puyallup, WA and can be reached out via phone at 253-241-2205.

Location: 17321 136Th Avenue Ct E, Puyallup, WA, 98338-9794
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679331573
Provider Name
Ricardo Ware
Credential
Provider Entity Type
Individual
Gender
Male
Address
17321 136Th Avenue Ct E, Puyallup, WA, 98338-9794
Phone Number
253-241-2205
Fax Number
Provider Enumeration Date
03/06/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
17321 136Th Avenue Ct E
City
Puyallup
State
Washington
Zip
98374-9615
Phone Number
253-241-2205
Fax Number
person
Provider Business Mailing Address Details
Address
17321 136Th Avenue Ct E
City
Puyallup
State
Washington
Zip
98374-9615
Phone Number
253-241-2205
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
757030 (Washington)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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