| NPI | 1154897783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN B BEACH Member 360-629-4510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 372500000X Chore Provider |
| 372600000X Adult Companion | |
| 374700000X Technician | |
| 3747A0650X Technician Attendant Care Provider | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| 385H00000X Respite Care | |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-10-22 |