| NPI | 1114917630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R BRIGHAM Administrator 509-525-6463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WA BH125) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2020-08-22 |