| NPI | 1215167382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY HOWORTH Administrator 907-212-0254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AK 1697) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |