| NPI | 1629812417 |
|---|---|
| Former Legal Business Name | MATANUSKA MAMA |
| Entity Type | Organization |
| Authorized Contact | KELLY M MCBRIDE Administrator 907-232-2510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-06-25 |