| NPI | 1215697545 |
|---|---|
| Doing Business As | THE FOUR ANGEL ALH |
| Entity Type | Organization |
| Authorized Contact | GLADYS STOEBNER Administrator 907-202-4427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376G00000X Nursing Home Administrator |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2021-12-28 |