| NPI | 1114499837 |
|---|---|
| Doing Business As | ALASKA INDEPENDENT & TRANSITIONAL LIVING ALH |
| Entity Type | Organization |
| Authorized Contact | TODD LEE SEVERSON Administrator 907-222-1153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2018-12-19 |