| NPI | 1083831515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIA CADDALI CALETENA Owner 907-317-2176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 100421) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2008-07-31 |