| NPI | 1992040091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER P JUAN Owner 907-770-6268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: AK 100938) |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2012-12-03 |