| NPI | 1255454377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK L DANIEL Co Administrator 907-563-6435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 000115) |
| Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: AK 434978) |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AK 000115) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |