| NPI | 1790021251 |
|---|---|
| Other Name | ASSISTED LIVING HOME |
| Entity Type | Organization |
| Authorized Contact | AGAPITA CADIZAL LLANEZA Caregiver 907-522-0564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2013-01-02 |