Provider Demographics
NPI:1366658981
Name:YUUYARAQ HOME HEALTH
Entity Type:Organization
Organization Name:YUUYARAQ HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:OLIVER
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:907-842-1718
Mailing Address - Street 1:PO BOX 497
Mailing Address - Street 2:
Mailing Address - City:DILLINGHAM
Mailing Address - State:AK
Mailing Address - Zip Code:99576-0497
Mailing Address - Country:US
Mailing Address - Phone:907-842-1718
Mailing Address - Fax:907-375-2960
Practice Address - Street 1:5051 ASPEN ST.
Practice Address - Street 2:
Practice Address - City:DILLINGHAM
Practice Address - State:AK
Practice Address - Zip Code:99576-0497
Practice Address - Country:US
Practice Address - Phone:907-842-1718
Practice Address - Fax:907-375-2960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKPCG267251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health