| NPI | 1093378358 |
|---|---|
| Doing Business As | VIVIAN'S HOUSE YOUNG ADULT CENTER |
| Entity Type | Organization |
| Authorized Contact | SHIRLEY BILLINGS Executive Director 360-736-9178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2019-04-22 |