| NPI | 1114085057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY LEE MADRID Administrator Co Owner 907-338-5747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 717746) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2008-07-09 |