| NPI | 1295260404 |
|---|---|
| Doing Business As | NANA'S HOUSE ASSISTED LIVING HOME |
| Entity Type | Organization |
| Authorized Contact | LETITIA WYCHE Owner 907-360-2126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AK 101185) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |