| NPI | 1962750687 |
|---|---|
| Doing Business As | LA VILLA |
| Entity Type | Organization |
| Authorized Contact | TRACY ALLEN Director Medicaid Services 206-298-2909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |