| NPI | 1568862134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER LEE JACOBS CEO/RN 360-518-9998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA RN60100368) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-09-02 |