NPI | 1083159164 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY HENRY ILIFF Owner 907-406-0834 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AK 116862) |
Enumeration Date | 2016-12-28 |
Last Update Date | 2016-12-28 |