| NPI | 1639719511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLA M PETERSON Executive Director 907-252-8915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 177F00000X Lodging |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |