| NPI | 1295026730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT FIDEL PENTECOSTES Owner 907-339-0423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 952681) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-02 |