| NPI | 1063998698 |
|---|---|
| Doing Business As | IZZY'S AFH |
| Doing Business As | COVENANT HOUSE AFH |
| Entity Type | Organization |
| Authorized Contact | ANDREA OLIVAS Manger 509-823-6558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |