Organization
SOUTHCENTRAL FOUNDATION
Active
Parent organization
SOUTHCENTRAL FOUNDATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHCENTRAL FOUNDATION
Authorized official
RONALD LEE OLSON (VP FINANCE)
(907) 729-4939
Entity
Organization
Contact information
Practice address
4201 TUDOR CENTRE DR, ANCHORAGE, AK 99508-5914
(907) 729-3300
Mailing address
4201 TUDOR CENTRE DR, ANCHORAGE, AK 99508-5914
(907) 729-3300
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
20467
AK
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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