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 |