NPI | 1295911212 |
---|---|
Doing Business As | GOOD SAMARITAN ASSISTED LIVING HOME |
Entity Type | Organization |
Authorized Contact | RODOLFO DOMONDON REGACHO Administrator 907-336-9090 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AK 000156) |
Enumeration Date | 2008-01-22 |
Last Update Date | 2008-06-20 |