Organization
KACHEMAK CARE COORDINATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SHULER (ADMINISTRATOR)
(907) 399-2500
Entity
Organization
Contact information
Practice address
215 OCEAN DRIVE LOOP APT B, HOMER, AK 99603-7966
(907) 399-2500
Mailing address
215 OCEAN DRIVE LOOP APT B, HOMER, AK 99603-7966
(907) 399-2500
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1002586
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002586
—
AK
Enumeration date
06/23/2016
Last updated
06/23/2016
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