Organization
BAL, INC
Active
Other names
Willow Air
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GWENDOLYN A WHITE (SECRETARY/TREASURE)
(907) 495-6370
Entity
Organization
Contact information
Practice address
32250 WEST PARKS HIGHWAY, WILLOW, AK 99688
(907) 495-6370
(907) 495-6370
Mailing address
32250 PARKS HIGHWAY, WILLOW, AK 99688
(907) 495-6370
(907) 495-6789
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
241558
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AL2361
—
AK
Enumeration date
10/22/2008
Last updated
10/22/2008
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