Organization
MAT-SU VALLEY II LLC
Active
Other names
Mat Su Regional Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE HOLTSFORD (AUTHORIZED OFFICIAL)
(615) 465-7466
Entity
Organization
Contact information
Practice address
950 E BOGARD RD, SUITE 132, WASILLA, AK 99654-7105
(907) 861-6000
Mailing address
950 E BOGARD RD, SUITE 132, WASILLA, AK 99654-7105
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
297764
AK
Other
Enumeration date
01/03/2008
Last updated
11/29/2011
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