| NPI | 1467898098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PA JAGNE Administrator 907-764-9956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 100691) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |