| NPI | 1578350104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MUSHIRA Afh Provider 509-508-6833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-04-25 |
| Last Update Date | 2025-04-25 |