| NPI | 1114776879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH JAY VANDERDOES Governor 360-710-7067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 372500000X Chore Provider |
| 372600000X Adult Companion | |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-06-10 |