| NPI | 1770800294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK SULLIVAN Secretary 907-332-1072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 100776) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |