Organization
ABSOLUTE CARE OF ALASKA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLEDZ LASTIMOSO (OWNER/PROGRAM ADMINISTRATOR)
(907) 727-1965
Entity
Organization
Contact information
Practice address
4601 E 104TH AVE, ANCHORAGE, AK 99507-6514
(907) 727-1965
Mailing address
4601 E 104TH AVE, ANCHORAGE, AK 99507-6514
(907) 727-1965
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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