| NPI | 1104895325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE DEMAREE Business Manager 253-813-2096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282J00000X Religious Nonmedical Health Care Institution (Licence: WA 1315) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2024-10-25 |