NPI | 1659924108 |
---|---|
Doing Business As | BH 1115- KKGB CFDS |
Entity Type | Organization |
Authorized Contact | RONALD LEE OLSON Executive Vice President Finance 907-729-4939 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2019-07-23 |
Last Update Date | 2024-08-28 |