| NPI | 1013132976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LON REEVES Owner 907-245-3470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: AK 418621) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |