| NPI | 1366865644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIA L. ORTEGA RN, Bsn 360-521-3776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA RN00095259) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |