| NPI | 1760043350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL GHEBRE Owner 206-235-1402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 163W00000X Registered Nurse |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |