| NPI | 1033080189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BRIAN DOERKSEN Office Manager 206-954-2733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-09-12 |
| Last Update Date | 2025-09-12 |