| NPI | 1093447617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASRA ABDULLAHI MOHAMUD Provider/Owner 253-205-5780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2022-06-30 |