NPI | 1649739640 |
---|---|
Former Legal Business Name | M&M ASSISTED LIVING HOME |
Entity Type | Organization |
Authorized Contact | MERCY GUILLEMA SONZA Administrator 907-317-3926 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2019-03-19 |
Last Update Date | 2019-03-19 |