Organization
KAREN PUDGE DBA FORGET-ME-NOT CARE COORDINATION
Active
Other names
Karen Pudge DBA Forget -Me-Not Care Coordination
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN LOUISE PUDGE BSW (SOLE EMPLOYEE PROPRIETOR)
(907) 646-9877
Entity
Organization
Contact information
Practice address
4350 E 145TH AVENUE, ANCHORAGE, AK 99516
(907) 646-9877
(907) 646-1991
Mailing address
PO BOX 110297, FOREGET-ME-NOT CARE COORDINATION, ANCHORAGE, AK 99511-0297
(907) 646-9877
(907) 646-1991
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
746363
AK
251B00000X
Case Management Agency
Primary
746363
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM861611588848097
—
AK
05
—
CMG8611265616783
—
AK
Enumeration date
12/19/2007
Last updated
07/14/2008
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