Healthcare Provider Details

I. General information

NPI: 1821903576
Provider Name (Legal Business Name): HARBOR HERITAGE ROSEWOOD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7614 55TH AVENUE CT NW
GIG HARBOR WA
98335-7431
US

IV. Provider business mailing address

415 N D ST APT C
TACOMA WA
98403-3200
US

V. Phone/Fax

Practice location:
  • Phone: 253-324-1126
  • Fax:
Mailing address:
  • Phone: 253-324-1126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: STACEY GARZA
Title or Position: OWNER
Credential:
Phone: 253-324-1126