NPI | 1497390439 |
---|---|
Doing Business As | BIG HEARTS ALASKA ALH |
Entity Type | Organization |
Authorized Contact | ANNABELLE FANGONILO Administrator 907-942-5366 |
Organization Subpart ? | No |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
Enumeration Date | 2019-11-13 |
Last Update Date | 2019-11-13 |