| NPI | 1073047486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADONNA MABEL VALENCIA Owner 509-881-8958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WA 310400000x) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |