NPI | 1538842778 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN BOSTON Owner 907-355-4084 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Additional Taxonomies | 310400000X Assisted Living Facility |
Enumeration Date | 2023-08-14 |
Last Update Date | 2023-08-14 |