Organization
FAIRBANKS RESOURCE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY ENNIS (EXECUTIVE DIRECTOR)
(907) 456-8901
Entity
Organization
Contact information
Practice address
805 AIRPORT WAY, FAIRBANKS, AK 99701-6039
(907) 456-8901
(907) 451-0210
Mailing address
805 AIRPORT WAY, FAIRBANKS, AK 99701
(907) 456-8901
(907) 451-0210
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
AK
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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