| NPI | 1982026985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETRINA E GAVRILIS Family Nurse Practitioner 253-282-7195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: WA UBI 603-362-414) |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2014-01-09 |