| NPI | 1497967640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBER SANBORN Hr Manager 907-777-0154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251J00000X Nursing Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 385H00000X Respite Care | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2023-09-28 |