| NPI | 1902934300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRASOL MIRASOL ISLA Director Of Finance 907-336-3365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X (Licence: AK 714562) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: AK 714562) |
| 261QA0600X Clinic/Center, Adult Day Care (Licence: AK 714562) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2008-05-14 |