| NPI | 1073736393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OFELIA ISENIA GUIEL Administrator 907-250-6089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 000170) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2008-07-17 |