| NPI | 1114721727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE A FLOREZ Owner/Provider 425-750-5803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-04-02 |
| Last Update Date | 2025-04-02 |