| NPI | 1124734009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA RENEE SAMPLEY Administrator 907-841-1514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-01-25 |