| NPI | 1861515173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELO MEDINA OCAMPO Designee Administrator 907-230-1065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 436467) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2008-06-20 |