| NPI | 1992243042 |
|---|---|
| Doing Business As | BELAIR HOUSE |
| Entity Type | Organization |
| Authorized Contact | RON TINO DITOMASO Owner 509-304-9618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: WA 752404) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |