| NPI | 1184102667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGAPITA CADIZAL LLANEZA Administrator 907-903-7644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 6876505) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |