Organization
INTEL-CARE ALASKA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW A TENNANT (ADMINISTRATOR)
(907) 342-9328
Entity
Organization
Contact information
Practice address
1011 BOSTON ST STE 103, ANCHORAGE, AK 99504-2031
(907) 342-9328
Mailing address
1011 BOSTON ST STE 103, ANCHORAGE, AK 99504-2031
(907) 342-9328
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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