| NPI | 1538166863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY HOWORTH Directory 907-269-3201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2020-08-22 |