| NPI | 1306118062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEO VALDEZ Administrator 907-350-7203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 000011) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |