| NPI | 1629562897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL DISIALVI Owner / Director 907-646-0702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |