| NPI | 1003032327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIDA SANTIAGO Administrator 907-333-6649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 000265) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |