| NPI | 1437368412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY SMITH Director 907-350-1260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: AK 297836) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |