Provider Demographics
NPI:1891961496
Name:SOUNDVIEWCARECENTER
Entity Type:Organization
Organization Name:SOUNDVIEWCARECENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUBY
Authorized Official - Middle Name:K
Authorized Official - Last Name:SANT
Authorized Official - Suffix:
Authorized Official - Credentials:CARGIVER
Authorized Official - Phone:253-566-5937
Mailing Address - Street 1:6824 19TH ST W
Mailing Address - Street 2:PMB 319
Mailing Address - City:UNIVERSITY PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:98466-5528
Mailing Address - Country:US
Mailing Address - Phone:253-566-5937
Mailing Address - Fax:253-566-6217
Practice Address - Street 1:3305 OLYMPIC BLVD W
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PLACE
Practice Address - State:WA
Practice Address - Zip Code:98466-1607
Practice Address - Country:US
Practice Address - Phone:253-566-5937
Practice Address - Fax:253-566-6217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-02
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA550900311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home