Organization
ALPHA OMEGA LIFE CARE, INC.
Active
Organization
ALPHA OMEGA LIFE CARE, INC.
Active
Other names
Kenneth E. Farrow
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH EDWARD FARROW (EXECUTIVE DIRECTOR)
(907) 895-4104
Entity
Organization
Contact information
Practice address
2415 RAPIDS ST., DELTA JUNCTION, AK 99737-1009
(907) 895-4104
(907) 895-4143
Mailing address
PO BOX 1009, DELTA JUNCTION, AK 99737-1009
(907) 895-4104
(907) 895-4143
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
714589
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC2942
—
AK
Enumeration date
05/11/2007
Last updated
08/22/2020
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