Organization
SOUTHCENTRAL FOUNDATION
Active
Other names
Head Start Northway Mall
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MORGAN (DIRECTOR OF REIMBURSEMENT)
(907) 729-4955
Entity
Organization
Contact information
Practice address
301 PENLAND PARKWAY, SPACE A14, ANCHORAGE, AK 99508
(907) 729-6170
Mailing address
4201 TUDOR CENTRE DR, SUITE 320, ANCHORAGE, AK 99508-5904
(907) 729-4955
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2007
Last updated
07/16/2010
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