| NPI | 1255761987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR REYES BONGLO Administrator 907-243-9570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 101014) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2013-11-15 |