| 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 |