| NPI | 1336391697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLEDZ LERIOS LASTIMOSO Administrator 907-644-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 100720) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2008-10-17 |