| NPI | 1194960476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMPHONE PHOUMMANY Home Administrator 907-339-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 913244) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2008-12-16 |