| NPI | 1164417226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA V WILEY Controller 509-662-1636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WA BH 1429) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2020-08-22 |