| NPI | 1164788071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE KORMAN Officer 907-746-4220 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 267) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: AK 100954) |
| 310400000X Assisted Living Facility (Licence: AK 100719) | |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-04 |