| NPI | 1679906648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANGELINE PARKER Geriatric Clinical Specialist 206-856-3570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WA LH 60376739) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |