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 |