| NPI | 1023134178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH E BABCOCK Administrator 907-235-6149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 00242) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: AK 00242) |
| 385H00000X Respite Care (Licence: AK 00242) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2010-04-13 |