Organization
DM CARE COORDINATION
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD KENTON HENRY (OWNER)
(907) 373-4692
Entity
Organization
Contact information
Practice address
5325 ASPEN ST., WASILLA, AK 99687-2023
(907) 373-4692
(907) 373-4629
Mailing address
PO BOX 872023, WASILLA, AK 99687-2023
(907) 373-4692
(907) 373-4692
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
290674
AK
Other
Enumeration date
04/10/2007
Last updated
06/19/2008
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