| NPI | 1720383847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY DENISE TROUP Owner/Administrator 907-345-3416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 100853) |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-01-20 |