| NPI | 1215784517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL OCHARA Adult Care Home Administrator 253-487-4623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-05-03 |