| NPI | 1033617881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJOKE OLOHIMA WALKER KOLAWOLE Administrator 907-830-6959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-01-26 |