| NPI | 1720255540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA ANN SMITH-FORD CEO 253-537-4170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 575900) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA LP00034205) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |