| NPI | 1184152779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANTE FERNANDO TADIQUE CEO 206-755-0861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376G00000X Nursing Home Administrator (Licence: WA A750023) |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2022-07-21 |