NPI | 1598160186 |
---|---|
Entity Type | Organization |
Authorized Contact | AMBER LEE JACOBS Owner 360-518-9998 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 201140065RN) |
Enumeration Date | 2014-10-26 |
Last Update Date | 2014-10-26 |