| NPI | 1477720589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL A ANSARA Owner/Manager 253-857-6566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 750183) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |