NPI | 1629331863 |
---|---|
Entity Type | Organization |
Authorized Contact | JOYCE LAVETTE MEWBORN Owner 907-602-0818 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: AK 6412530) |
Enumeration Date | 2012-06-22 |
Last Update Date | 2012-06-22 |