NPI | 1235353822 |
---|---|
Doing Business As | SUMMER SHADES RESIDENTIAL CARE |
Entity Type | Organization |
Authorized Contact | TOD R WITT President 907-378-2309 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 000021) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2020-08-22 |