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Keiro Northwest provides care for Asian seniors across a full spectrum of health and wellness services. It has been doing so under different names since 1975. Over the decades, its services have evolved to adapt to healthcare needs. Kokoro Kai, an adult day program promoting social interaction and wellness activities, began in the spring of 1978; Nikkei Horizons, a continuing education program for active seniors, was started in 1990. In 1998, the Nikkei Manor assisted living facility near Uwajimaya in the ID opened its doors. Keiro also specializes in rehabilitation. It has become a comprehensive elder care organization and a cornerstone of the Asian community in Seattle.