| NPI | 1710747415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARITA LEVANEN Administrator 360-852-6219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251V00000X Voluntary or Charitable | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |