| NPI | 1952524779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNIE DAVIS Co Owner 907-775-0345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care (Licence: AK 230512) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2008-07-31 |