Organization
WILD IRIS COMFORT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CANDACE ELIDA CARROLL (OWNER)
(907) 452-2345
Entity
Organization
Contact information
Practice address
1221 3RD AVE, FAIRBANKS, AK 99701-4239
(907) 452-2345
(907) 374-3973
Mailing address
1221 3RD AVE, FAIRBANKS, AK 99701-4239
(907) 452-2345
(907) 374-3973
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100585
AK
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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