| NPI | 1962081497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHAL ANN PACKA Owner 907-414-0203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2021-04-02 |