| NPI | 1417128851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA PRESTON MEEKS Owner 360-736-8598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: WA 309902) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |