| NPI | 1659601409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JO METTLER Program Administrator 907-398-2939 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 385H00000X Respite Care (Licence: AK None Issed by State) |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2009-12-29 |