NPI | 1609231687 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDY VU Provider/Owner 425-492-4333 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 752992) |
Enumeration Date | 2015-12-17 |
Last Update Date | 2015-12-17 |