| NPI | 1417285099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOELLE DIAZ BICKEL Licensing Specialist 206-298-2909 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: OH 2187R) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |