| NPI | 1922518067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON STEWART Manager 253-241-4992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ AL105345C) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |