DEBORAH NORDBERG NAC
NPI 1114589033
Custodial Care Facility - Adult Care Home in Yakima, WA
- Individual
- Female
- Custodial Care Facility
- Adult Care Home
About DEBORAH NORDBERG
This page provides the complete NPI Profile along with additional information for Deborah Nordberg, a provider established in Yakima, Washington with a medical specialization in Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1114589033 assigned on July 2019. The practitioner's primary taxonomy code is 311ZA0620X with license number 729500 (WA). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1114589033 Verify this NPI
- Provider Name
- DEBORAH NORDBERG NAC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 203 S 77TH AVE YAKIMA, WA 98908
- Location Phone
- (509) 966-1075
- Mailing Address
- 203 S 77TH AVE YAKIMA, WA 98908
- Mailing Phone
- (509) 966-1075
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-01-2019
- Last Update Date
- 07-01-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Custodial Care Facility Adult Care Home
- Taxonomy Code
- 311ZA0620X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 729500
- License State
- WA
- Taxonomy Description
- A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114589033, enumerated as an "individual" on July 01, 2019.
The provider is located at 203 S 77TH AVE YAKIMA, WA 98908 and the phone number is (509) 966-1075.
Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.