| NPI | 1891919577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA SHARON HENDRICKSON Administrator 907-357-8342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 100366) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: AK 100366) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |