| NPI | 1891961496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBY K. SANT Owner 253-566-5937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 550900) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-02 |