| NPI | 1841520699 |
|---|---|
| Doing Business As | GRACE R |
| Entity Type | Organization |
| Authorized Contact | JUANITA SERENA ELLIOTT Care Coordinator 907-569-5033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: AK 937341) |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2009-12-29 |