| NPI | 1215051388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD FAGUNDES Executive Director 907-586-8228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AK HC7127) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: AK HC7127) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2008-07-10 |