Organization
STARFISH CARES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARYK MCNEEL-DIEHL BSW (ADMINISTRATOR/OWNER)
(907) 376-1922
Entity
Organization
Contact information
Practice address
201 E SWANSON AVE, STE. #13, WASILLA, AK 99654-7026
(907) 376-1922
(907) 376-1925
Mailing address
PO BOX 298222, WASILLA, AK 99629-8222
(907) 376-1922
(907) 376-1925
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
742113
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY NUMBER
AK
Enumeration date
05/24/2007
Last updated
05/21/2020
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