| NPI | 1881015030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN C ANDREWS Owner 509-999-7273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 602302675) |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2013-12-13 |