| NPI | 1932261534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY PRIVRATSKY Executive Director 907-563-2599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: AK 186856) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |