NPI | 1215529581 |
---|---|
Doing Business As | THE FOUR ANGELS ASSISTED LIVING HOME |
Entity Type | Organization |
Authorized Contact | GLADYS STOEBNER Administrator 907-202-4427 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2021-02-09 |
Last Update Date | 2021-02-09 |