| NPI | 1306971809 |
|---|---|
| Doing Business As | ANGEL OF MY SERVICE MIND |
| Entity Type | Organization |
| Authorized Contact | MANDY H MA Executive Director 253-584-5615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2022-07-21 |