| NPI | 1699491159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA DAVID SATTERFIELD Administrator/Owner 907-317-2959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2022-10-17 |