| NPI | 1629203450 |
|---|---|
| Doing Business As | SAME |
| Entity Type | Organization |
| Authorized Contact | CHRISTIANA ILUSEN ULOFOSHIO Owner/Administrator 907-929-2431 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: AK HC37041) |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: AK HC3704) |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2009-05-22 |