NPI | 1992194757 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA DAWN ROGERS Administrator 509-671-1729 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 751079) |
Enumeration Date | 2015-01-16 |
Last Update Date | 2015-01-16 |