Organization
ADULT LEARNING PROGRAMS OF ALASKA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI A DAVIS BSW (CARE COORDINATOR)
(907) 452-6434
Entity
Organization
Contact information
Practice address
122 1ST AVE, FAIRBANKS, AK 99701-4803
(907) 452-6434
(907) 451-6598
Mailing address
122 1ST AVE, FAIRBANKS, AK 99701-4803
(907) 452-6434
(907) 451-6598
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
251C00000X
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251C00000X
—
AK
Enumeration date
09/14/2009
Last updated
09/14/2009
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