| NPI | 1003035627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JO METTLER Administrator 907-398-2939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care (Licence: AK None Issued by State) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |