| NPI | 1093264814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY HENDRICKSON Administrator 907-357-5413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 101158) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |