| NPI | 1477845030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIEELAINE TAYAN PENTECOSTES Owner/ Administrator 907-929-0304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 100904) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2011-05-13 |