| NPI | 1851514624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILMA ERIBAL TANNER Administrator, Owner 907-441-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 738560) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: AK RL5743) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2018-06-21 |