NPI | 1215198429 |
---|---|
Other Name | HOUSE OF JOSEPH |
Entity Type | Organization |
Authorized Contact | MARGARET VALERIE WILLIAMS Administrator 907-222-2480 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AK RL9768) |
Enumeration Date | 2008-06-19 |
Last Update Date | 2008-06-19 |