Provider Demographics
NPI:1255883831
Name:HERON'S KEY
Entity type:Organization
Organization Name:HERON'S KEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-313-0700
Mailing Address - Street 1:4340 BORGEN BLVD
Mailing Address - Street 2:ADMINISTRATION
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98332-1061
Mailing Address - Country:US
Mailing Address - Phone:253-313-0700
Mailing Address - Fax:253-313-0650
Practice Address - Street 1:4340 BORGEN BLVD
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98332-7000
Practice Address - Country:US
Practice Address - Phone:253-313-0800
Practice Address - Fax:253-313-0651
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EMERALD COMMUNITIES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-10-28
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility