NPI | 1548744469 |
---|---|
Other Name | INDEPENDENCE LODGE, LLC |
Entity Type | Organization |
Authorized Contact | DEVON URQUHART Administrator 907-351-5931 |
Organization Subpart ? | No |
Primary Taxonomy | 385H00000X Respite Care |
Enumeration Date | 2018-09-17 |
Last Update Date | 2018-09-17 |