| NPI | 1124839055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIEUME MUNGUALINIPA Provider 509-418-3377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2025-01-20 |