| NPI | 1790914109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DICKSON Hr 360-736-9178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care (Licence: WA IHS.FS.60083889) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2022-11-21 |