| NPI | 1578137865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTEL MAY BUNTING Owner/Administrator 907-602-8464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2021-05-19 |