Organization
360 CARE COORDINATION OF ALASKA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER TUCKER PHARMD (PROGRAM ADMINISTRATOR)
(248) 226-0577
Entity
Organization
Contact information
Practice address
7256 PRICE DRIVE, 140075, SALCHA, AK 99714-9971
(248) 226-0577
Mailing address
PO BOX 140075, SALCHA, AK 99714-0075
(248) 226-0577
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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