| NPI | 1801296744 |
|---|---|
| Doing Business As | MANIILAQ HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | PAUL JOHN HANSEN Administrator 907-442-3321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: AK 004-437-IV) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-08-28 |