| NPI | 1609311430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAYKHAM KEODOUANGDY CEO 907-250-9935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health (Licence: AK 1039501) |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2025-03-04 |