| NPI | 1700340627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYNN SMITH Administrator 907-903-0443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2022-01-31 |