Organization
SOUTH EAST ALASKA CARE COORDINATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZAN MARIE FITZGERALD (CARE COORDINATOR)
(907) 523-3019
Entity
Organization
Contact information
Practice address
8541 E VALLEY CT, JUNEAU, AK 99801-8977
(907) 523-3019
Mailing address
8541 E VALLEY CT, JUNEAU, AK 99801-8977
(907) 523-3019
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
CM 549
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM 549
—
AK
Enumeration date
03/05/2007
Last updated
08/22/2020
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