| NPI | 1407664337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMMY BIWOTT Provider/Owner 425-503-2432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2024-12-23 |
| Last Update Date | 2024-12-23 |