| NPI | 1508003336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA MAYAO RAFAEL Administrator 907-350-7781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 917763) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |