| NPI | 1376714279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOWHARA MOHAMED Provider 425-204-1810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 750184) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |