| NPI | 1013618552 |
|---|---|
| Doing Business As | SEARHC RAVEN'S WAY-BLACK BEAR |
| Entity Type | Organization |
| Authorized Contact | DANIEL HARRIS S EVP/CFO 907-463-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-03-13 |