| NPI | 1205954492 |
|---|---|
| Doing Business As | SWAN LAKE SENIOR CENTER |
| Entity Type | Organization |
| Authorized Contact | JENNIFER CARSON Hhcj Director/Compliance Officer 907-463-6162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174200000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2021-03-25 |