| NPI | 1326267014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEE OREBAUGH Administrator 907-276-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: AK 360595) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: AK 360595) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |