NPI | 1053886010 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDON BOWDEN Owner 907-360-2266 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
Enumeration Date | 2018-10-05 |
Last Update Date | 2018-10-05 |