| NPI | 1326484080 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | ARLENE RAMOS RICHARDS Manager 360-601-3415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA RN00161838) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-21 |