| NPI | 1962522052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA BALTAZAR CANLAS Administrator 907-868-1156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 100441) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |