NPI | 1578273231 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIA-TAJIRI NYAGONCHONGA Provider 509-306-4371 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2022-12-02 |
Last Update Date | 2022-12-02 |