| NPI | 1003090176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YONG KIM Owner/Manager 907-644-9003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AK 000300) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2007-12-24 |