| NPI | 1063250207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMIN GASSAMA Administrator 206-552-3004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2024-07-19 |