NPI | 1043810534 |
---|---|
Doing Business As | APPLE CREEK |
Entity Type | Organization |
Authorized Contact | SONYA JASMINE DAWSON Administrator 509-895-5623 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2020-10-26 |
Last Update Date | 2020-10-26 |