| NPI | 1013415660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN BUO BOLO Administrator 907-350-2375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 101197) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |