| 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 |