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 |