| NPI | 1114522703 |
|---|---|
| Doing Business As | ISLAND ELDER CARE |
| Entity Type | Organization |
| Authorized Contact | THERESA DIAN SHIPLEY Provider 206-856-1670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-01 |