| NPI | 1780899542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA DE LEON Owner 907-830-0518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: AK 436948) |
| Additional Taxonomies | 251E00000X Home Health (Licence: AK 436948) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |