| NPI | 1619145737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH F DOUGLAS Co Owner 907-868-1289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 100364) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-11 |