NPI | 1245401488 |
---|---|
Former Name | DOLORES ERMITANIO ZUNIGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 750328) |
Enumeration Date | 2008-03-16 |
Last Update Date | 2008-03-16 |