NPI | 1811420391 |
---|---|
Doing Business As | TRIBAL- BROTHER FRANCIS SHELTER |
Entity Type | Organization |
Authorized Contact | RONALD LEE OLSON Executive Vice President Finance 907-729-4949 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: AK 20467) |
Enumeration Date | 2017-04-11 |
Last Update Date | 2023-09-15 |