| NPI | 1649482753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILAGROS VINA JENNINGS Administrator 907-868-1795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 100527) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |