| NPI | 1073405684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERWIN ALCONIS Program Administrator / Director 907-717-0283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2025-07-17 |