| Specialty | Taxonomy Code | |
|---|---|---|
| * | Mental Health | 101YM0800X |
* Indicates primary specialty
| NPI Number | 1508616236 |
| Legal business name LBN |
ALASKAN AMAZING GRACE ALH LLC |
| Authorized official | JERRY FONSECA - (OWNER/ADMINISTRATOR) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 03/25/2024 |
| Last updated | 03/25/2024 - About 2 years ago |
| Sole proprietor1 | Not specified |
| Identifiers | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
There are currently no reviews for ALASKAN AMAZING GRACE ALH LLC