| NPI | 1316151095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L IVORY Care Coordination Director 907-864-3415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 385H00000X Respite Care | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2021-10-20 |