| NPI | 1043864267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLA ALDEBOT Owner 907-444-1983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |