| NPI | 1922599844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMONA LYNNE STEVENS Administrator 907-947-1355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 100983) |
| Enumeration Date | 2018-05-26 |
| Last Update Date | 2018-05-26 |