| NPI | 1932379534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VASILICA DAVID Owner/Provider 253-859-3220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 750042) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-06-17 |