| NPI | 1700313731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE FIELD Member 253-474-0425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2017-07-20 |