| NPI | 1528215795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILAGROS VINA JENNINGS Designee 907-868-1795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 100527) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |