| NPI | 1841515632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA M EDGE Home & Community Based Waiver Coord 907-564-6842 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2010-04-05 |