NPI | 1396589578 |
---|---|
Doing Business As | CORDIAL PALACE AFH LLC |
Entity Type | Organization |
Authorized Contact | PURITY WAKABA Provider 253-226-4800 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2024-06-21 |
Last Update Date | 2024-06-21 |