Healthcare Provider Details

I. General information

NPI: 1427966076
Provider Name (Legal Business Name): ERONIA CARE LOCAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 E PIONEER STE C
PUYALLUP WA
98372-3265
US

IV. Provider business mailing address

2116 N 26TH ST
TACOMA WA
98403-3002
US

V. Phone/Fax

Practice location:
  • Phone: 253-592-0081
  • Fax:
Mailing address:
  • Phone: 253-592-0081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: CAROLINE W KNOLL
Title or Position: OWNER
Credential:
Phone: 253-339-9471