| NPI | 1215158779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KISHA DIANNE SMAW CEO 907-341-2272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: AK 731680) |
| Additional Taxonomies | 251E00000X Home Health (Licence: AK 731680) |
| 251B00000X Case Management (Licence: AK 731680) | |
| 251X00000X Supports Brokerage (Licence: AK 731680) | |
| 347E00000X Transportation Broker (Licence: AK 731680) | |
| 385H00000X Respite Care (Licence: AK 731680) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2013-07-23 |