| NPI | 1235263070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HENRIQUES Vice President/Asst Administrator 907-586-6838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X Supports Brokerage |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2021-10-21 |