| NPI | 1104957760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YONG KIM Owner 907-644-9003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AK 000300) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2008-06-27 |