| NPI | 1528239753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE CHRISTINE REESE Registered Nurse Owner 509-952-5564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: WA A208501) |
| Enumeration Date | 2008-03-16 |
| Last Update Date | 2008-03-16 |