| NPI | 1720269046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERKLEY H TILTON Sec/Trea 907-376-2697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 100604) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |