| NPI | 1679038376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERI KAY TEICH Owner 907-414-8665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 174200000X |
| 251E00000X Home Health | |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |