NPI | 1689546400 |
---|---|
Entity Type | Organization |
Authorized Contact | REMEDIOS FRANCISCO Administrator 907-301-7542 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2025-09-22 |
Last Update Date | 2025-09-22 |