SNF

AVAMERE AT PACIFIC RIDGE

CCN: 505264 · TACOMA, WA 98404 · Pierce County

Overview

Address
3625 EAST B STREET, TACOMA, WA 98404
Phone
2534752507
Certified beds
102
Avg daily residents
63 (62% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1982-04-01
Setting
Urban
1 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 2/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 2/5
Short-Stay Quality Measures ★★★★★ 1/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 5.93 3.54 6.47 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.65 0.62 0.70 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 1.29 0.79 1.41 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 3.99 2.14 4.36 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.94 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.03 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
5.24
hrs / resident / day
RN (weekend)
0.39
hrs / resident / day
Total nurse (adjusted, weekend)
5.72
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
45.3%
annual
RN turnover
83.3%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.25
higher acuity than avg
Case-Mix Index Ratio
0.91
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-03-27 29 27 2 192 1 192
Cycle 2/3 (prior) 2024-04-26 20 14 6 144 1 144
Total weighted health score
180.0
lower is better

Deficiencies (78)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

2 A/B/C No actual harm — minor
73 D/E/F Actual harm — potential for minor
3 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-12-12 2025-12-26
0627 Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. D 2025-05-20 2025-06-04
0552 Ensure that residents are fully informed and understand their health status, care and treatments. D 2025-03-27 2025-05-14
0578 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. D 2025-03-27 2025-05-14
0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. E 2025-03-27 2025-05-14
0604 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. D 2025-03-27 2025-05-14
0625 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. E 2025-03-27 2025-05-14
0640 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. D 2025-03-27 2025-05-14
0641 Ensure each resident receives an accurate assessment. D 2025-03-27 2025-05-14
0645 PASARR screening for Mental disorders or Intellectual Disabilities F 2025-03-27 2025-05-14
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-03-27 2025-05-14
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2025-03-27 2025-05-14
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-03-27 2025-05-14
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2025-03-27 2025-05-14
0679 Provide activities to meet all resident's needs. D 2025-03-27 2025-05-14
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-03-27 2025-05-14
0688 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. D 2025-03-27 2025-05-14
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-03-27 2025-05-14
0692 Provide enough food/fluids to maintain a resident's health. D 2025-03-27 2025-05-14
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. E 2025-03-27 2025-05-14
0758 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. E 2025-03-27 2025-05-14
0761 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. E 2025-03-27 2025-05-14
0791 Provide or obtain dental services for each resident. D 2025-03-27 2025-05-14
0805 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F 2025-03-27 2025-05-14
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2025-03-27 2025-05-14
0880 Provide and implement an infection prevention and control program. E 2025-03-27 2025-05-14
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. E 2025-03-27 2025-05-14
0887 Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. E 2025-03-27 2025-05-14
0947 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. E 2025-03-27 2025-05-14
0693 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. G 2025-01-17 2025-02-04
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2024-10-04 2024-10-29
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2024-07-19 2024-08-26
0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. E 2024-04-26 2024-05-29
0585 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. D 2024-04-26 2024-05-29
0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. C 2024-04-26 2024-05-29
0625 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. B 2024-04-26 2024-05-29
0641 Ensure each resident receives an accurate assessment. D 2024-04-26 2024-05-29
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-04-26 2024-05-29
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-04-26 2024-05-29
0692 Provide enough food/fluids to maintain a resident's health. D 2024-04-26 2024-05-29
0693 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. E 2024-04-26 2024-05-29
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2024-04-26 2024-05-29
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2024-04-26 2024-05-29
0758 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. E 2024-04-26 2024-05-29
0761 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. E 2024-04-26 2024-05-29
0919 Make sure that a working call system is available in each resident's bathroom and bathing area. E 2024-04-26 2024-05-29
0691 Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. D 2023-09-28 2023-10-30
0660 Plan the resident's discharge to meet the resident's goals and needs. D 2023-06-06 2023-07-11
0558 Reasonably accommodate the needs and preferences of each resident. D 2023-03-21 2023-05-09
0578 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. D 2023-03-21 2023-05-09

Showing 50 most recent of 78. See the All Data CSV for the full list.

Penalties (3)

Fines issued
3
last 3 years
Total fines
$57,783
Date Type Fine amount
2024-07-19 Fine $8,278
2025-01-17 Fine $22,432
2024-10-04 Fine $27,073

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 2.7% Medicaid 71.4% Other 25.9%

Operating performance

Operating Margin
-13.6%
Total Margin
4.4%
Occupancy Rate
75.5%
Cost per Resident Day
$44

Revenue & costs

Net Patient Revenue
$11.4M
Total Costs
$1.2M
Net Income
$597K

Balance sheet

Total Assets
$9.3M
Total Liabilities
$9.8M
Fund Balance
-$551K
Current Ratio
0.88

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: AVAMERE

Chain ID
58
Facilities in chain
33
Legal business name
TACOMA REHAB, LLC
Chain-average star ratings (for peer context)
Overall
2.9
Health
2.5
Staffing
3.8
QM
3.6

Owner / manager organizations (4)

Organization Role Association
AVAMERE HEALTH SERVICES LLC OPERATIONAL/MANAGERIAL CONTROL since 01/01/2005
AVAMERE SKILLED ADVISORS LLC OPERATIONAL/MANAGERIAL CONTROL since 01/01/2005
MIDCAP FINCO LLC OPERATIONAL/MANAGERIAL CONTROL since 01/22/2010
MIDCAP FINCO LLC 5% OR GREATER SECURITY INTEREST since 01/22/2010

Owner / manager individuals (14)

Name Role Association
BROOKS, ANTHONY OPERATIONAL/MANAGERIAL CONTROL since 10/16/2024
FANUNAL, LORIEL OPERATIONAL/MANAGERIAL CONTROL since 01/02/2023
FOWLER, KATHERINE OPERATIONAL/MANAGERIAL CONTROL since 02/28/2025
KOFSTAD, MARY OPERATIONAL/MANAGERIAL CONTROL since 02/13/2024
KRETCHMAR, JOSHUA OPERATIONAL/MANAGERIAL CONTROL since 07/01/2023
MCKINNEY, MARY OPERATIONAL/MANAGERIAL CONTROL since 04/27/2023
MUNRO, JOLYNN OPERATIONAL/MANAGERIAL CONTROL since 09/01/2023
POIRIER, STACY OPERATIONAL/MANAGERIAL CONTROL since 01/01/2024
POLSON, JUSTIN OPERATIONAL/MANAGERIAL CONTROL since 02/10/2025
POWELSON, MICHELE OPERATIONAL/MANAGERIAL CONTROL since 03/25/2015
PRESLEY, YOLANDA OPERATIONAL/MANAGERIAL CONTROL since 01/06/2025
REID, MISTY OPERATIONAL/MANAGERIAL CONTROL since 01/02/2025
SIMPSON, ANDREW OPERATIONAL/MANAGERIAL CONTROL since 06/01/2024
STRIDER, SHELBY OPERATIONAL/MANAGERIAL CONTROL since 04/01/2025

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $44 metrics.cost_per_resident_day
Cost Report Current Ratio 0.88 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 71.4% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 2.7% metrics.medicare_day_share
Cost Report Net Income ($) $597,222 metrics.net_income
Cost Report Net Patient Revenue ($) $11,387,682 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 75.5% metrics.occupancy_rate
Cost Report Operating Margin (%) -13.6% metrics.operating_margin
Cost Report Total Assets ($) $9,291,570 metrics.total_assets
Cost Report Total Costs ($) $1,234,614 metrics.total_costs
Cost Report Total Fund Balances ($) $-551,029 metrics.fund_balance
Cost Report Total Liabilities ($) $9,842,599 metrics.total_liabilities
Cost Report Total Margin (%) 4.4% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.40769 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 4.35588 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.70384 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 6.46741 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 5.71917 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 63.1 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.78578 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.13558 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.61937 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.54073 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.12078 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.5 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.9 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.6 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 3.8 Chain Average Staffing Rating
Provider Information Chain ID 58 Chain ID
Provider Information Chain Name AVAMERE Chain Name
Provider Information City/Town TACOMA City/Town
Provider Information CMS Certification Number (CCN) 505264 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Pierce County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1982-04-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 47.226 Latitude
Provider Information Legal Business Name TACOMA REHAB, LLC Legal Business Name
Provider Information Location 3625 EAST B STREET,TACOMA,WA,98404 Location
Provider Information Long-Stay QM Rating 2 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -122.43 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 102 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 33 Number of Facilities in Chain
Provider Information Number of Fines 3 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.25432 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.91048 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 3625 EAST B STREET Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name AVAMERE AT PACIFIC RIDGE Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 260 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 2 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 192 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 2 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 27 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-03-27 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 192 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 29 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 14 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-04-26 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 144 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 6 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 144 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 20 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.38622 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 83.3 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.93641 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.29094 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 3.99463 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.03371 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.64547 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 5.93104 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 1 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 4 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State WA State
Provider Information Telephone Number 2534752507 Telephone Number
Provider Information Total Amount of Fines in Dollars 57783.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 5.24486 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 3 Total Number of Penalties
Provider Information Total nursing staff turnover 45.3 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 180.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 98404 ZIP Code