Organization
SOUTHCENTRAL FOUNDATION
Active
Other names
Head Start Chugach
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD LEE OLSON (VP FINANCE)
(907) 729-4939
Entity
Organization
Contact information
Practice address
6901 E TUDOR RD, ANCHORAGE, AK 99507-1241
(907) 729-4955
Mailing address
4501 DIPLOMACY DR, ATTN: PROVIDER ENROLLMENT, ANCHORAGE, AK 99508-5919
(907) 729-4955
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2007
Last updated
01/28/2016
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