Organization
MACGREGOR CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA RENEE SAMPLEY (ADMINISTRATOR)
(907) 841-1514
Entity
Organization
Contact information
Practice address
3471 W. WREN ST., WASILLA, AK 99623
(907) 376-1514
Mailing address
3003 NORTH CIR, ANCHORAGE, AK 99507-3954
(907) 841-1514
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1692909
—
AK
Enumeration date
01/25/2023
Last updated
01/25/2023
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