| NPI | 1467623546 |
|---|---|
| Doing Business As | GRANDPA'S PLACE |
| Entity Type | Organization |
| Authorized Contact | SARRAH HELD Owner/Provider/President 360-910-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 750066) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |