| NPI | 1639415466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID C GOMMENGINGER Executive Director 360-698-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: WA IHS.FS.00000335) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2012-12-26 |