| NPI | 1417304528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTEL MAY BUNTING Owner/Administrator 907-602-8464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: AK 101135) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |