NPI | 1811334667 |
---|---|
Entity Type | Organization |
Authorized Contact | DAPHNE RAVANA President 907-952-0830 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 100730) |
Enumeration Date | 2013-06-03 |
Last Update Date | 2016-10-12 |