Organization Name: | NATALIYAS CARE SERVICES |
NPI Number: | 1043454408 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NATALIYA ZHUCHKOV (OWNER) |
Mailing Address: | 1450 N Creste Foris St Ste A Wasilla |
State: | AK US |
Postal Code: | 996545651 |
Phone Number: | 9073575431 |
Fax Number: | 9073575421 |
NPI Enumeration Date: | 04/28/2009 |
NPI Last Update Date: | 03/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | 917716 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |