| NPI | 1316161060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE TUTAAN ANGLE Manager Owner 206-380-0042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00117028) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 107802) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2008-07-17 |