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 |