| NPI | 1508981879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK SULLIVAN Secretary 907-339-9688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 100418) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2010-04-25 |