NPI | 1235942822 |
---|---|
Doing Business As | PRECIOUS MEMORY ASSISTED LIVING HOME |
Entity Type | Organization |
Authorized Contact | LEO CHEN Program Administrator 907-313-9624 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
Enumeration Date | 2025-01-29 |
Last Update Date | 2025-01-29 |