| NPI | 1801234877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSIE K COVINGTON Owner 509-734-0851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: 523900) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-06-12 |