| NPI | 1235672247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LYNN TUREK Residential Care Manager/Nurse 360-933-4728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 751011) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |