| NPI | 1669250577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW A TENNANT Administrator 907-342-9328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2023-09-20 |