| NPI | 1790106920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA ANN CARRELL Owner 360-457-1644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: WA IHS.FS.00000244) |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2013-12-13 |