| NPI | 1790035087 |
|---|---|
| Doing Business As | CARMELITE HOME |
| Entity Type | Organization |
| Authorized Contact | AINA R FOWLER Administrator/Owner 907-336-1296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: AK 100955) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-09-13 |