Organization
COMPASSIONATE AVIANA INC
Active
Other names
Compassionate Aviana
Organization subpart
No
Provider details
NPI number
Authorized official
BAYKHAM KEODOUANGDY (OWNER/ADMINISTRATOR)
(907) 317-9657
Entity
Organization
Contact information
Practice address
3007 ARCTIC BLVD, SPACE 2, ANCHORAGE, AK 99503-3478
(907) 317-9657
Mailing address
3007 ARCTIC BLVD, SPACE 2, ANCHORAGE, AK 99503-3478
(907) 317-9657
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
AK
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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