| NPI | 1417389420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONCEPCION FERNANDEZ MAST RN 907-903-4668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 992877) |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2013-07-31 |