| NPI | 1689497653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENOK KEBEDE MEKONNEN Owner 509-270-3214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2024-11-06 |