| NPI | 1245591940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY BOLLOZOS FRANCISCO Owner 907-227-5573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2012-10-17 |