National Provider Identifier Database

PC JAIL CLINIC
Custodial Care Facility

A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.


Contact Information

P.C. JAIL CLINIC
910 TACOMA AVE S
TACOMA, WA98402-2104
Phone: 253-798-4033
Fax: 253-798-4043
Website:
Specialty Taxonomy Code
* Custodial Care Facility 311Z00000X

* Indicates primary specialty

NPI Profile & details for P.C. JAIL CLINIC

NPI Number 1699828103
Legal business name
LBN
P.C. JAIL CLINIC
Authorized official MIGUEL BALDERRAMA - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 01/19/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • WA Other: MD00034248 MEDICAL LICENSE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for P.C. JAIL CLINIC

There are currently no reviews for P.C. JAIL CLINIC


NPIdb - Home
v2.201