| NPI | 1649647579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN W STAFFORD CEO 253-709-9290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: WA IHS.FS.00000092) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |