| NPI | 1407073463 |
|---|---|
| Doing Business As | STONE BROOK INN II |
| Entity Type | Organization |
| Authorized Contact | AUDRA HEDMAN President Administrator 907-262-1583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |