Individual
PAMELA S HORAZDOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW, MAG
Contact information
Practice address
60788 BEAR CREEK DR, HOMER, AK 99603-9461
(907) 299-0352
(907) 235-4093
Mailing address
60788 BEAR CREEK DR, HOMER, AK 99603-9461
(907) 299-0352
(907) 235-4093
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
312106
AK
172A00000X
Driver
312106
AK
251B00000X
Case Management Agency
Primary
312106
AK
385H00000X
Respite Care
312106
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312106
AK BUSINESS LICENSE NUMBE
AK
05
—
CM79951
—
AK
05
—
CMG641
—
AK
05
—
HC1641
—
AK
Enumeration date
03/14/2007
Last updated
06/10/2008
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