| NPI | 1154832962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEANN A KONONEN Administrator/Care Coordinator 907-575-6009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |