NPI | 1720401508 |
---|---|
Doing Business As | A WATER VIEW ADULT FAMILY HOME |
Entity Type | Organization |
Authorized Contact | IOANA RALUCA BOANCA Provider 206-697-5557 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 752552) |
Enumeration Date | 2014-01-29 |
Last Update Date | 2014-01-29 |