NPI | 1083146195 |
---|---|
Entity Type | Organization |
Authorized Contact | TSEHAY MOBA SEYOUM Manager/ Provider 206-919-8722 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 163W00000x) |
Enumeration Date | 2017-03-29 |
Last Update Date | 2017-03-29 |