Organization Name: | ELDER OPTIONS OF ALASKA |
NPI Number: | 1619156254 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAMELA S HORAZDOVSKY (OWNER/ADMINSTRATOR) |
Mailing Address: | 60788 Bear Creek Dr Homer |
State: | AK US |
Postal Code: | 996039461 |
Phone Number: | 9072990352 |
Fax Number: | 9072354093 |
NPI Enumeration Date: | 10/31/2007 |
NPI Last Update Date: | 07/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | HC1641 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AK |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |