| NPI | 1902149362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON SKINNER Nurse Delegator 360-927-5725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: WA RN60104003) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |