| NPI | 1609640176 |
|---|---|
| Former Legal Business Name | LORENE'S PLACE II |
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE T TAYLOR Treasurer 253-353-6078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-11-14 |