| NPI | 1235971177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN MAAZ Executive Director/CEO 253-533-9050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2024-06-11 |