| NPI | 1902123508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYLA GRACIA C GATPANDAN Pres Administrator 907-240-7519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 936586) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |