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 |