Organization
SAFE HAVEN CARE COORDINATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA BOVEY (OWNER)
(907) 440-7780
Entity
Organization
Contact information
Practice address
4811 BECHAROF ST, ANCHORAGE, AK 99507-1003
(907) 440-7780
Mailing address
4811 BECHAROF ST, ANCHORAGE, AK 99507-1003
(907) 440-7780
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
731120
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMG890
—
AK
Enumeration date
06/07/2007
Last updated
08/22/2020
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