| 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 |