Organization
ONE FAMILY BIRTH & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA J BASTANI LMP (ADMINISTRATOR/PRESIDENT)
(907) 349-3054
Entity
Organization
Contact information
Practice address
1108 E NORTHERN LIGHTS BLVD STE C, ANCHORAGE, AK 99508-4259
(907) 349-3054
(907) 349-3056
Mailing address
1108 E NORTHERN LIGHTS BLVD STE C, ANCHORAGE, AK 99508-4259
(907) 349-3054
(907) 349-3056
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
ONF02030000001
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ONF02030000001
STATE OF ALASKA FACILITY LICENSE
AK
Enumeration date
09/23/2010
Last updated
09/23/2010
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