| NPI | 1609181197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARICHELLE RODRIGUEZ PAGTAKHAN Administrator 907-317-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 942880) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-08-10 |