| NPI | 1619156254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA S HORAZDOVSKY Owner/Adminstrator 907-299-0352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: AK HC1641) |
| 385H00000X Respite Care (Licence: AK HC1641) | |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2008-07-28 |