| NPI | 1891293239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA S BOWLES Owner/Adminiatrator 907-232-8993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: AK 100480) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-06-04 |