| NPI | 1609120468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORA GIBSON Executive Director 206-467-7033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Additional Taxonomies | 171W00000X Contractor |
| 251E00000X Home Health | |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2021-02-09 |