# ALASKA FOOT CARE NURSES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659629087
- **Authorized official:** MRS. MARTINA LOUISE DEVILLEZ RN (OWNER)
- **Authorized official phone:** (907) 250-4412

## Contact information

- **Practice address:** 991 N HERMON SUITE 100, WASILLA, AK 99654
- **Practice address phone:** (907) 250-4412
- **Mailing address:** PO BOX 874263, WASILLA, AK 99687-4263
- **Mailing address phone:** (907) 250-4412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 18544 | AK | Yes |

## Other

- **Enumeration date:** 08/15/2012
- **Last updated:** 08/15/2012