SANDRA J FORSYTHE
Adult Care Home
Eatonville, Washington
Provider NPI: 1760654230
Provider Information:SANDRA J FORSYTHE
Practice Location:
34911 78TH AVE E EATONVILLE, WA 98328 US
Tel: 253-846-5141 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | WA | 578400 |