| NPI | 1689899494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LEE HUMBLE Owner Administator 907-339-9929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 100442) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2008-06-16 |