| NPI | 1023226495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERENA FAYE WAGGONER Owner Administrator 907-245-0994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 000258) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-07-15 |