| NPI | 1518713551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUNCAN NGARACHU Adult Family Home Provider 425-753-7156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |