Organization
SUPERNOVA ADVOCATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER ALLEN (CO-OWNER/CARE COORDINATOR)
(907) 331-7523
Entity
Organization
Contact information
Practice address
4535 E 8TH AVE, ANCHORAGE, AK 99508-2713
(907) 331-7523
Mailing address
4535 E 8TH AVE, ANCHORAGE, AK 99508-2713
(907) 331-7523
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
AK
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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