| NPI | 1225898331 |
|---|---|
| Doing Business As | 2021 BOULEVARD |
| Entity Type | Organization |
| Authorized Contact | DANIEL IRWIN STUSSER Managing Partner 360-259-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2024-03-19 |