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Organization

SUSAN REED

Active
Parent organization
CARE CORE
Organization subpart
Yes

Provider details

NPI number
Legal business name
CARE CORE
Authorized official
MISS SUSAN REED (CARE COORDINATOR)
(907) 357-7395
Entity
Organization

Contact information

Practice address
4020 N GREY WOLF DR, WASILLA, AK 99654-1837
(907) 357-7395
(907) 357-9599
Mailing address
4020 N GREY WOLF DR, WASILLA, AK 99654-1837
(907) 357-7395
(907) 357-9599

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
435062
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013126929
AK
Enumeration date
10/20/2009
Last updated
10/20/2009
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