Organization
UPPER SU VALLEY CARE COORDINATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA HORSTMANN LBSW MED (OWNER ADMINISTRATOR)
(907) 733-3368
Entity
Organization
Contact information
Practice address
17040 EAST MONTANA CREEK ROAD, WILLOW, AK 99688-9707
(907) 733-3368
Mailing address
HC 89 BOX 560H, WILLOW, AK 99688-9707
(907) 733-3368
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
AK
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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