| NPI | 1194933382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA JUSITINIANO PETRIE Administrator 907-646-1131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 100574) |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2020-08-22 |