| NPI | 1083760433 |
|---|---|
| Doing Business As | GENACTA |
| Entity Type | Organization |
| Authorized Contact | NGOZI GERALD ISOLOKWU President 907-884-0906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251T00000X PACE Provider Organization (Licence: AK PCG6161-DSDS CERT.) |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 291U00000X Clinical Medical Laboratory | |
| 320700000X Residential Treatment Facility, Physical Disabilities (Licence: AK 100558) | |
| 251G00000X Hospice Care, Community Based (Licence: AK HC6161-DSDS Cert.) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2023-08-09 |