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The Mobile Tooth Fairy P.S.

NPI 1568803146ActiveOrganization· Assisted Living Facility· Puyallup, WA

Assisted Living Facility in Puyallup, Washington, registered in NPPES in July 2013. The authorized official on file is Nicole Lee Fink, RDH, President/Owner.

Overview

NPI1568803146
StatusActive
Entity typeOrganization
NPI issuedJul 11, 2013
Last updated in NPPESJul 11, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Assisted Living Facility Primary310400000X——
Clinic/Center, Adult Day Care261QA0600X——
Clinic/Center, Community Health261QC1500X——
Clinic/Center, Dental261QD0000X——
Clinic/Center, Mental Health (Including Community Mental Health Center)261QM0801X——
Clinic/Center, Public Health, State or Local261QP0905X——
Clinic/Center, VA261QV0200X——
Assisted Living Facility, Assisted Living, Mental Illness3104A0625X——
Assisted Living Facility, Assisted Living, Behavioral Disturbances3104A0630X——
Intermediate Care Facility, Mental Illness310500000X——
Alzheimer Center (Dementia Center)311500000X——
Custodial Care Facility, Adult Care Home311ZA0620X——
Nursing Facility/Intermediate Care Facility313M00000X——
Skilled Nursing Facility314000000X——
Intermediate Care Facility, Intellectual Disabilities315P00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other assisted living facilities in Puyallup

All assisted living facilities in Washington