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 |