| NPI | 1306721089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MVULA Manager/Provider 253-433-1748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2025-08-11 |