| NPI | 1326462722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVIN JAMES STILLWELL Resident Manager 509-413-2445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: WA 752496) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |