| NPI | 1912794819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN BALASA Office Administrator 425-753-2416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-04-23 |
| Last Update Date | 2025-04-23 |