| NPI | 1023106606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANDA ROCHELLE KITCHENS Financial Coordinator 907-260-4574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2022-07-21 |