| NPI | 1720290786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILAGROS VINA JENNINGS Administrator 907-868-1795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: AK 000298) |
| Additional Taxonomies | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: AK 000010) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2008-08-14 |