| NPI | 1639570203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLIE JO HANSEN Administrator/Owner 907-715-6507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: AK 1624210) |
| 253J00000X Foster Care Agency | |
| 310400000X Assisted Living Facility | |
| 385H00000X Respite Care (Licence: AK 1624210) | |
| 251B00000X Case Management (Licence: AK 1002558) | |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: AK 1002558) | |
| Enumeration Date | 2014-09-14 |
| Last Update Date | 2016-09-21 |