| NPI | 1528239258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIEBEL TUGADE YANCEY Owner/Provider 253-250-2703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 750488) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |