| NPI | 1992502595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAWEKE S GEBRESELASSIE Owner 253-856-2790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-03-01 |
| Last Update Date | 2025-03-01 |