| NPI | 1508107608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOREL SINGEORZAN Owner 360-944-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 717100) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2013-03-14 |