| NPI | 1922345750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDINE TURNER Manager 907-248-4669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: AK 376G00000X) |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2013-01-14 |