Organization
ALZHEIMER'S DISEASE RESOURCE AGENCY OF ALASKA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L IVORY (CARE COORDINATION DIRECTOR)
(907) 864-3415
Entity
Organization
Contact information
Practice address
1750 ABBOTT RD, ANCHORAGE, AK 99507-3443
(907) 561-3313
(907) 561-3315
Mailing address
1750 ABBOTT RD, ANCHORAGE, AK 99507-3443
(907) 561-3313
(907) 561-3315
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM3745
—
AK
05
—
CM3752
—
AK
05
—
CM5237
—
AK
05
—
CM5282
—
AK
05
—
CM5452
—
AK
05
—
CM6608
—
AK
05
—
CM7271
—
AK
05
—
CM8386
—
AK
05
—
CMG736
—
AK
05
—
HC7736
—
AK
05
—
PCG736
—
AK
Enumeration date
05/10/2007
Last updated
10/20/2021
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