| NPI | 1770606030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: AK RL2570) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: AK RL2570) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2025-09-11 |