| NPI | 1508029240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY B PENTECOSTES Admnistrator 907-677-9289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 908797) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |