| NPI | 1962753954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDE OGUNLEYE Manager 206-321-0485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NC HAL035023) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |