| NPI | 1447917299 |
|---|---|
| Other Name | GVEA |
| Entity Type | Organization |
| Authorized Contact | BOBBIE JO PERKINS Safety Assistant 907-451-5679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2021-11-29 |