Healthcare Provider Details

I. General information

NPI: 1841246659
Provider Name (Legal Business Name): CONSOLIDATED RESOURCES HEALTH CARE FUND I, L.P.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 01/07/2022
Certification Date: 01/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1045 S 308TH ST
FEDERAL WAY WA
98003-4706
US

IV. Provider business mailing address

3001 KEITH ST NW
CLEVELAND TN
37312-3713
US

V. Phone/Fax

Practice location:
  • Phone: 253-946-2273
  • Fax: 253-946-1596
Mailing address:
  • Phone: 423-473-5751
  • Fax: 423-993-8342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number1107
License Number StateWA

VIII. Authorized Official

Name: CINDY S. CROSS
Title or Position: ASSISTANT SECRETARY
Credential:
Phone: 423-473-5867