| NPI | 1932663820 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | JAKE MASLOFF Owner 907-350-9715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2024-09-11 |