| NPI | 1194996033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMELDA A CABORNAY Owner 206-444-0702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 393201) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |