| 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 |