| NPI | 1043582208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORI CORINA HATEGAN Administrator 360-521-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WA B2117) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |