| NPI | 1114150513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAQUIN MIGUEL BARBACHANO Manager/Chief Financial Officer 907-622-9198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AK 100488) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2009-09-01 |