| NPI | 1790962793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE CERVAS ESCALANTE Owner/Administrator 907-337-6364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 100271) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |