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Organization
EASTERSEALS ALASKA
Active
Organization
EASTERSEALS ALASKA
Active
Other names
Easter Seals Alaska
Organization subpart
No
Provider details
NPI number
Authorized official
V GUTIERREZ-OSBORNE (CEO / EXECUTIVE DIRECTOR)
(907) 277-7325
Entity
Organization
Contact information
Practice address
670 W FIREWEED LN STE 201, ANCHORAGE, AK 99503-2561
(907) 277-7325
(907) 272-7325
Mailing address
670 W FIREWEED LN STE 201, ANCHORAGE, AK 99503-2561
(907) 277-7325
(907) 272-7325
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
280429
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC1831
—
AK
05
—
PCG803
—
AK
Enumeration date
06/24/2005
Last updated
07/30/2020
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