| NPI | 1144509365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRICELDA CLORINDA VALENCIA President, Administrator 907-350-6585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AK 949703) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2011-08-04 |