NPI | 1013445972 |
---|---|
Entity Type | Organization |
Authorized Contact | ARIANA JACKSON Owner / President 907-382-0991 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
Enumeration Date | 2017-05-23 |
Last Update Date | 2022-07-21 |