Organization
CHRYSTAL VAN SKY
Active
Other names
Miowak Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHRYSTAL VAN SKY BSW (OWNER-CARE COORDINATOR)
(907) 776-5273
Entity
Organization
Contact information
Practice address
53908 TIAGA WAY, KENAI, AK 99611
(907) 773-5273
(907) 776-7081
Mailing address
53908 TIAGA WAY, KENAI, AK 99611
(907) 776-5273
(907) 776-7081
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMG456
—
AK
Enumeration date
07/05/2007
Last updated
08/22/2020
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