NPI | 1922391408 |
---|---|
Doing Business As | ADULT FAMILY HOME |
Entity Type | Organization |
Authorized Contact | MARCIA ROIAL-CRACIUN Provider 360-885-7933 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 654400) |
Enumeration Date | 2011-05-17 |
Last Update Date | 2011-05-17 |