| NPI | 1982254009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISA V WINCHESTER Administrator 907-917-4168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |