Organization
INTERIOR CARE COORDINATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY TUCKER (ADMINISTRATOR)
(907) 978-5023
Entity
Organization
Contact information
Practice address
5170 SUNDOWN TRL, SALCHA, AK 99714-9756
(907) 978-5023
(877) 237-7275
Mailing address
PO BOX 55130, NORTH POLE, AK 99705-0130
(907) 978-5023
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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