| NPI | 1477306942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLADAPO OYELAMI HUNDOGAN Administrator 907-202-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-04-11 |