| NPI | 1881865020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOLORES ERMITANIO CAVADA Manager 253-269-6108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 720300) |
| Enumeration Date | 2008-03-16 |
| Last Update Date | 2008-03-16 |