| NPI | 1275938243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISRAEL RODRIGUEZ Administrator 509-989-1843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 751171) |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2014-11-03 |