| NPI | 1497260988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMADOU NDURE Designee 907-843-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |