Organization
EBEN-EZER HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA ANGELES DEAN (OWNER)
(907) 770-6315
Entity
Organization
Contact information
Practice address
1301 WINTERGREEN ST, ANCHORAGE, AK 99508-3069
(907) 770-6315
Mailing address
PO BOX 140425, ANCHORAGE, AK 99514-0425
(907) 770-6315
(505) 404-0562
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
436017
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PCG224
—
AK
Enumeration date
07/03/2006
Last updated
01/15/2009
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