| NPI | 1205965142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAIDE TEMITOPE WOLFE Program Administrator 907-929-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |