| NPI | 1447240692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY VOELLER Administrator 253-565-1960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WA BH 1501) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2020-08-22 |