| NPI | 1518851740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE FELCIA WILSON Owner/Administrator 907-351-0554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2025-06-04 |
| Last Update Date | 2025-06-04 |