Organization
SU-VALLEY CARE COORDINATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCES D WALKER (ADMINISTRATOR)
(907) 841-2077
Entity
Organization
Contact information
Practice address
500 E SWANSON AVE STE 9, WASILLA, AK 99654-7197
(907) 841-2077
(888) 588-5194
Mailing address
PO BOX 513, WILLOW, AK 99688-0513
(907) 841-2077
(888) 588-5194
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
10018139
AK
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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