Organization
THE CHILDREN'S PLACE
Active
Organization
THE CHILDREN'S PLACE
Active
Other names
The Children's Place
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE RENEE BAYLESS (EXECUTIVE DIRECTOR)
(907) 357-5157
Entity
Organization
Contact information
Practice address
1021 N LUCILLE ST, WASILLA, AK 99654-6405
(907) 357-5157
(907) 357-5159
Mailing address
PO BOX 871788, WASILLA, AK 99687
(907) 357-5157
(907) 357-5159
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
271872
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD1999
—
AK
Enumeration date
08/06/2009
Last updated
05/01/2019
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