Organization
SWIFTWATER GROUP ALASKA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRINA VICTORIA GEDDES (PRESIDENT / ADMINISTRATOR)
(907) 250-6648
Entity
Organization
Contact information
Practice address
6065 N SITZE RD, WASILLA, AK 99654-9078
(907) 250-6648
Mailing address
1830 E PARKS HWY # 229, SUITE A-113, WASILLA, AK 99654-7378
(907) 250-6648
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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