| NPI | 1467741546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYICE D STRAHL President 509-473-9956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 692486) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2011-03-29 |