| NPI | 1487148789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OPHELIA D NOBLE Home Care Aide 360-635-5235 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: WA 60440919) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 253Z00000X In Home Supportive Care (Licence: WA 60440919) | |
| 332U00000X Home Delivered Meals | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |