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 |