| NPI | 1104328392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILAGROS V JENNINGS Administrator 907-362-6098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 101142) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-02 |