Organization
49TH STATE CARE COORDINATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILPRES CALDEJON (OWNER/CARE COORDINATOR/ADMINISTRATO)
(907) 306-8168
Entity
Organization
Contact information
Practice address
8576 MOORLAND ST, ANCHORAGE, AK 99502-5188
(907) 306-8168
Mailing address
8576 MOORLAND ST, ANCHORAGE, AK 99502-5188
(907) 306-8168
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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