| NPI | 1972976967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANAI MARIE MEYER Owner 907-220-9920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AK 10032053) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AK 10032053) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-13 |