| NPI | 1346367265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN G. MINA Administrator 907-230-0876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 310400000X) |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2020-08-22 |