| NPI | 1598908097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WIESNER Vice President 360-882-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ ALC6718) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2009-04-13 |