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Organization

MY DAUGHTER AND ME ALH, 2

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARY LOUISE LUNDY LPN (ADMINISTRATOR)
(907) 677-7767
Entity
Organization

Contact information

Practice address
2202 ROOSEVELT DR, ANCHORAGE, AK 99517-3040
(907) 677-7767
(907) 677-7767
Mailing address
PO BOX 241622, ANCHORAGE, AK 99524-1622
(907) 677-7767
(907) 677-7767

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
923799
AK

Other

Enumeration date
04/15/2009
Last updated
04/15/2009
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