| NPI | 1245774108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JESELNIK Owner/Administrator 907-317-1093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: AK 101139) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |