NPI | 1508302621 |
---|---|
Entity Type | Organization |
Authorized Contact | SAUDA ABDUL-HAQQ Owner/Administrator 907-632-3462 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: AK 100382) |
Enumeration Date | 2017-01-12 |
Last Update Date | 2017-01-12 |