| NPI | 1831363043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNY SENIOR Owner 360-566-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: WA 750136) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |