| NPI | 1518581933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW LONG Owner And Director 206-307-4775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-01 |