| NPI | 1972990596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE MOORE KETTELL Care COO Rdinator 907-764-5801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |