Organization
FAR NORTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERI KAY TEICH RN (OWNER)
(907) 414-8665
Entity
Organization
Contact information
Practice address
651 E HEATHER WAY, WASILLA, AK 99654-1410
(907) 357-0055
Mailing address
PO BOX 879390, WASILLA, AK 99687-9390
(907) 414-8665
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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