| NPI | 1831366806 |
|---|---|
| Doing Business As | HERMIE'S ADULT FAMILY HOME |
| Entity Type | Organization |
| Authorized Contact | JOHN GREGORY TATUM Member 253-539-4520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 355700) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2008-05-09 |