| NPI | 1083128375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIA PEROS SADUCOS Provider 206-694-3513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 751083) |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2017-11-22 |