| NPI | 1386199339 |
|---|---|
| Former Legal Business Name | PCR ALASKA, LLC |
| Entity Type | Organization |
| Authorized Contact | PHILLIP D TAFS Owner 907-268-1242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AK 1039082) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2022-02-28 |