| NPI | 1144517442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA SANTOS NORTMANN Owner/Manager 360-692-6450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 751846) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |