| NPI | 1215273578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMETT AARON KOELSCH Owner 360-867-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: AZ AL8814C) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2024-12-05 |