Provider Demographics
NPI:1386291052
Name:TROUVES ST. ANN INC.
Entity type:Organization
Organization Name:TROUVES ST. ANN INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:GWEDOLYN
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:MCMURTREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-289-5050
Mailing Address - Street 1:6602 S ALASKA ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98408-1323
Mailing Address - Country:US
Mailing Address - Phone:253-289-5050
Mailing Address - Fax:253-301-3255
Practice Address - Street 1:6602 S ALASKA ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98408-1323
Practice Address - Country:US
Practice Address - Phone:253-289-5050
Practice Address - Fax:253-301-3255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-19
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances