| NPI | 1568046183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FUSI HOLA Owner/Administrator 907-229-9522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2021-05-10 |