# COOKIE'S TENDER CARE

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

## Provider details

- **NPI number:** 1871706937
- **Authorized official:** FLORENCE C LYON (OWNER)
- **Authorized official phone:** (907) 262-6401

## Contact information

- **Practice address:** 41525 GROVE AVE, SOLDOTNA, AK 99669
- **Practice address phone:** (907) 262-6401
- **Practice address fax:** (907) 262-6402
- **Mailing address:** PO BOX 3345, SOLDOTNA, AK 99669-3345
- **Mailing address phone:** (907) 262-6401
- **Mailing address fax:** (907) 262-6402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 256858 | AK | Yes |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 08/22/2020