| NPI | 1285294819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE LONG Manager 360-952-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2021-04-06 |