| NPI | 1609472513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY DEE BALTS Adminstrator 907-575-0508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2021-08-24 |