Organization
WILLOW PERSONAL CARE ASSISTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS DAHLEN MBA, CNA (OWNER)
(907) 495-6778
Entity
Organization
Contact information
Practice address
MILE 69. 1 PARKS HIGHWAY, WILLOW, AK 99688
(907) 495-6778
(907) 495-6779
Mailing address
PO BOX 624, WILLOW, AK 99688-0624
(907) 495-6778
(907) 495-6779
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/25/2009
Last updated
11/25/2009
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