Organization
MATANUSKA MAMA, LLC
Active
Other names
Matanuska Mama
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY M MCBRIDE (ADMINISTRATOR)
(907) 232-2510
Entity
Organization
Contact information
Practice address
1355 NORTH TRANQUILITY LANE, PALMER, AK 99645
(907) 232-2510
Mailing address
PO BOX 3151, PALMER, AK 99645-3151
(907) 232-2510
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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