| 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 |