| NPI | 1457575151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN MAAZ Executive Director 253-533-9050 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2024-05-02 |