Organization
QUALITY CARE COORDINATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LANE RENE BEAUCHAMP MSW (OWNER/OPERATOR)
(907) 283-0653
Entity
Organization
Contact information
Practice address
460 ROY WAY, KENAI, AK 99611-8924
(907) 283-0653
(907) 283-0653
Mailing address
460 ROY WAY, KENAI, AK 99611-8924
(907) 283-0653
(907) 283-0653
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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