| 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 |