| NPI | 1124242342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEE OREBAUGH Administrator 907-276-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 112) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |