| NPI | 1689207219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C DODD Administrator/Owner 907-315-8929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |