NPI | 1104312537 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANA IVONNE AUMAVAE Administrator 907-602-5274 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: AK 101129) |
Enumeration Date | 2018-07-09 |
Last Update Date | 2018-07-09 |