Organization
ACACIA PERSONAL CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERIN ROBERTS (OWNER)
(907) 338-2727
Entity
Organization
Contact information
Practice address
7731 E NORTHERN LIGHTS BLVD, STE 210, ANCHORAGE, AK 99504-3572
(907) 338-2727
(907) 338-2704
Mailing address
PO BOX 110042, ANCHORAGE, AK 99511-0042
(907) 338-2727
(907) 338-2704
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
AK
251X00000X
Supports Brokerage Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMG009
—
AK
05
—
HC2682
—
AK
05
—
HC26821
—
AK
05
—
PCG263
—
AK
05
—
PCG264
—
AK
Enumeration date
10/18/2007
Last updated
10/21/2009
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