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 |