Organization
PERSONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS MURCHISON (ADMINISTRATOR)
(907) 278-2905
Entity
Organization
Contact information
Practice address
2905 E 20TH AVE, ANCHORAGE, AK 99508-3304
(907) 278-2905
Mailing address
2905 E 20TH AVE, ANCHORAGE, AK 99508-3304
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC4476
FIRST HEALTH
AK
Enumeration date
03/19/2007
Last updated
08/22/2020
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