| NPI | 1588984447 |
|---|---|
| Other Name | ILUMINADA'S ASSISTED LIVING HOME II |
| Entity Type | Organization |
| Authorized Contact | ILUMINADA LINGAD IBAY Administrator 907-868-2738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle (Licence: AK 100681) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2010-06-02 |