| NPI | 1417126608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA JACKSON Administrator/Owner 907-227-6892 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 100652) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-08-13 |