NPI | 1225419740 |
---|---|
Entity Type | Organization |
Authorized Contact | MERLINA G DUGGAN Owner/Designee 907-644-0627 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: AK 101101) |
Enumeration Date | 2015-06-10 |
Last Update Date | 2015-06-10 |