Organization
ALPINE RESOURCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL CORONADO-BRUTON (DIRECTOR)
(928) 527-8489
Entity
Organization
Contact information
Practice address
2100 E CEDAR AVE, FLAGSTAFF, AZ 86004-1959
(928) 527-8489
Mailing address
2100 E CEDAR AVE, FLAGSTAFF, AZ 86004-1959
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
464097
ARIONA HEALTH CARE COST CONTAINMENT SYSTEM
AZ
Enumeration date
10/08/2009
Last updated
10/08/2009
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