| NPI | 1710195193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THELMA JEAN DUBYAK Owner Administrator 907-522-1958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 000287) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |