| NPI | 1134000615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL G NJOROGE Entity Representative 253-250-6921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-09-10 |
| Last Update Date | 2025-09-10 |