| NPI | 1114431293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY MACON Admin/Owner 907-903-1930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 101120) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |