| NPI | 1104979806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE INGLE Director Of Dhhs 907-343-6460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse Community Health (Licence: AK 2307) |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: AK 2307) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2010-10-04 |