| NPI | 1003538927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AISHATU DARNO Administrator 907-341-7064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2022-09-16 |