Organization
NORTHWEST INDEPENDENCE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY CATHERINE EVANS LCSW (CARE COORDINATOR ADMINISTRATOR)
(907) 575-8501
Entity
Organization
Contact information
Practice address
2701 KEMPTON HILLS DR, ANCHORAGE, AK 99516-2749
(907) 575-8501
(907) 644-0601
Mailing address
PO BOX 110382, ANCHORAGE, AK 99511-0382
(907) 575-8501
(907) 644-0601
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
987297
AK
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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