| NPI | 1356730022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA M ERDAHL Registered Nurse 253-847-2012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WA RN00172277) |
| Enumeration Date | 2015-01-17 |
| Last Update Date | 2015-01-17 |