| NPI | 1649573007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLEDZ LASTIMOSO Owner/Program Administrator 907-727-1965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |