| NPI | 1396574786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL CHARLES JACKS Owner/Care Coordinator 907-830-1455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-08-01 |