| NPI | 1275751307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODOLFO DOMONDON REGACHO Representative 907-830-8706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: AK 000156) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-08-07 |