| NPI | 1790013357 |
|---|---|
| Doing Business As | WEST SIDE MANOR |
| Entity Type | Organization |
| Authorized Contact | NOELLE DIAZ BICKEL Licensing Specialist 206-298-2909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NY 520-F-149) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |