| NPI | 1508331398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INSOOK LEE LANDON Owner 509-205-5571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2018-10-08 |