| NPI | 1265717540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POMPOSA LUCAS PORTERFIELD Administrator 907-688-2283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 939279) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2011-10-18 |