| NPI | 1033258280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRA L CUPP Administrator 907-486-8186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 100372) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-06-25 |