NPI | 1134870330 |
---|---|
Entity Type | Organization |
Authorized Contact | LEA MINA Administrator 907-727-5986 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
Enumeration Date | 2022-01-10 |
Last Update Date | 2022-01-10 |