| NPI | 1184895906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA DRAGOMIR Provider 253-876-7726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 656400) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |