| NPI | 1790532083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY NJAGE Adult Care Home Administrator 206-751-5404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-05-03 |