| NPI | 1174964928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCINE GREEN CEO 509-535-2005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 751172) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2013-07-09 |