| NPI | 1144692187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILANETA V TYRELL Administrator 907-332-0627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 1012920) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |