| NPI | 1770974248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISRAEL RODRIGUEZ Administrator 509-989-1843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |