| NPI | 1013704089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES LEE MARLER Administrator/Owner 907-215-5670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2025-04-23 |
| Last Update Date | 2025-04-30 |