Organization
MARY CONRAD CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY HOWORTH (DIRECTORY)
(907) 269-3201
Entity
Organization
Contact information
Practice address
9100 CENTENNIAL CIR, ANCHORAGE, AK 99504-1480
(907) 333-8100
(907) 338-6789
Mailing address
9100 CENTENNIAL CIR, ANCHORAGE, AK 99504-1480
(907) 333-8100
(907) 338-6789
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LT0713
—
AK
Enumeration date
07/01/2005
Last updated
08/22/2020
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