Organization
FAIRBANKS COMMUNITY CARE COORDINATION
Active
Other names
Fairbanks Community Care Coordination
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AMANDA ELLIS (OWNER/ADMINISTRATOR)
(907) 398-7297
Entity
Organization
Contact information
Practice address
1902 CENTRAL AVE, FAIRBANKS, AK 99709-4223
(907) 398-7297
Mailing address
PO BOX 80929, FAIRBANKS, AK 99708-0929
(907) 398-7297
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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