Organization
EXECUTIVE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GULNORA KIYAMOVA (GENERAL MANAGER)
(907) 272-7244
Entity
Organization
Contact information
Practice address
1113 W 32ND AVE # AVE, ANCHORAGE, AK 99503-3728
(907) 272-7244
(907) 272-7244
Mailing address
1113 W 32ND AVE # AVE, ANCHORAGE, AK 99503-3728
(907) 272-7244
(907) 272-7244
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
933616
AK
Other
Enumeration date
01/21/2011
Last updated
01/23/2011
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