NPI | 1124244306 |
---|---|
Entity Type | Organization |
Authorized Contact | MILAGROS VINA JENNINGS Administrator 907-868-1795 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 420796) |
Additional Taxonomies | 344600000X Taxi (Licence: AK 000010) |
385H00000X Respite Care (Licence: AK 000010) | |
3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: AK 00090) | |
3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: AK 000298) | |
Enumeration Date | 2007-04-17 |
Last Update Date | 2008-08-14 |