| NPI | 1396576252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIRGUT TILAHUN ASHENAFFI Manager 425-408-3507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |