| NPI | 1023158284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADIMIR VISHNEVETSKI Agency Director 907-258-5303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care (Licence: AK 713027) |
| Additional Taxonomies | 251X00000X Supports Brokerage (Licence: AK 713027) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-01-26 |