| NPI | 1396513644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER PITTMON Entity Represtentative 509-480-2260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2023-12-15 |