| NPI | 1750935433 |
|---|---|
| Doing Business As | MIND AND SOUL ASSISTED LIVING HOME, LLC |
| Entity Type | Organization |
| Authorized Contact | ELFORD JOSEPH Administrator 907-350-3878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174200000X |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2022-03-24 |