| NPI | 1760922173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE KROGH Owner/Administration 907-947-9523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 101208) |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2017-03-03 |