| NPI | 1710153937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REZA S VARGAS Provider/Owner 253-875-9077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 635100) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-07 |