NPI | 1164055091 |
---|---|
Entity Type | Organization |
Authorized Contact | MAHOULOME HAROLD GUIDI Owner/Provider 509-280-7164 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2020-02-19 |
Last Update Date | 2020-02-19 |