| NPI | 1942400999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA MARTINEZ President 907-332-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: AK 740703) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: AK 740703) |
| 251B00000X Case Management (Licence: AK 740703) | |
| 251E00000X Home Health (Licence: AK 740703) | |
| 251G00000X Hospice Care, Community Based (Licence: AK 740703) | |
| 251J00000X Nursing Care (Licence: AK 740703) | |
| 305S00000X Point of Service (Licence: AK 740703) | |
| 310400000X Assisted Living Facility (Licence: AK 740703) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AK 740703) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AK 740703) | |
| 385H00000X Respite Care (Licence: AK 740703) | |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-30 |