Organization
FAR NORTH CARE COORDINATION AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEWART VANDROFF (OWNER)
(907) 891-2943
Entity
Organization
Contact information
Practice address
2230 SENTRY DR APT B308, ANCHORAGE, AK 99507-4688
(907) 891-2943
Mailing address
2230 SENTRY DR APT B308, ANCHORAGE, AK 99507-4688
(907) 891-2943
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18519471
—
AK
Enumeration date
07/20/2020
Last updated
07/20/2020
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