| NPI | 1780935031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY OPPERMAN Owner/Administrator 907-978-5844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 100924) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |