| NPI | 1700191368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDACE K SOPER Owner/ Administrator 907-903-0575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 100842) |
| Enumeration Date | 2010-08-07 |
| Last Update Date | 2010-08-07 |