| NPI | 1770606543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY BOLLOZOS FRANCISCO Administrator 907-227-5573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 310400000X) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2008-06-16 |