| NPI | 1093967986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ULYANA PETROVNA STIASSNY Administrator 907-644-8838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 100694) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-10-22 |