| NPI | 1679287486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA LE Physician 206-395-4748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Additional Taxonomies | 163W00000X Registered Nurse |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2023-04-03 |