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Organization

MICHELLE'S CARE COORDINATION, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CYNTHIA MICHELLE NORMAN (OWNER/CARE COORDINATOR)
(907) 252-6330
Entity
Organization

Contact information

Practice address
35477 KENAI SPUR HWY, SUITE 215, SOLDOTNA, AK 99669
(907) 260-3101
(907) 260-3141
Mailing address
PO BOX 418, KASILOF, AK 99610
(907) 260-3101
(907) 260-3141

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1017737
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1608071
AK
Enumeration date
06/04/2015
Last updated
06/04/2015
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