| NPI | 1881136752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLEDZ LERIOS LASTIMOSO Owner/Administrator 907-727-1965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: AK PCGX) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |