| NPI | 1932482619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA D HUTCHENS-ETHEREDGE Owner 907-677-6375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AK 100529) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2014-09-10 |