| NPI | 1740595172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE SELERIANA BALGENORTH Administrator 907-727-4723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 100788) |
| Additional Taxonomies | 251S00000X (Licence: AK 100788) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2012-02-28 |