| NPI | 1740683861 |
|---|---|
| Doing Business As | COMPASSIONATE AVIANA |
| Entity Type | Organization |
| Authorized Contact | BAYKHAM KEODOUANGDY Owner/Administrator 907-317-9657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-02 |