| NPI | 1396176699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BALJEET KAUR HANS President 360-913-0152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 750156) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |