| NPI | 1619186145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUANPIS SUPASORN Administrator 907-569-3022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 000162) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: AK 000162) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-06-19 |