| NPI | 1649399577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY ALLEN Director Of Medicaid Services 206-298-2909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL 5096) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2011-08-04 |