NPI | 1508740515 |
---|---|
Entity Type | Organization |
Authorized Contact | SWEMA L LIKONDE Provider/Owner 206-377-9945 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2025-08-04 |
Last Update Date | 2025-08-04 |