NPI | 1033485099 |
---|---|
Entity Type | Organization |
Authorized Contact | FERDIE TAN ODRON Owner 907-947-6262 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 100937) |
Enumeration Date | 2012-03-23 |
Last Update Date | 2012-03-23 |