| NPI | 1184233116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK MICHAEL POMERANTZ Medical Director 907-206-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2023-04-24 |