Organization
GUIDED BY GRACE CARE COORDINATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERI I FULLER (OWNER/CARE COORDINATOR)
(907) 952-1713
Entity
Organization
Contact information
Practice address
6128 W DANDY CIR, WASILLA, AK 99623-0524
(907) 952-1713
Mailing address
PO BOX 877629, WASILLA, AK 99687-7629
(907) 952-1713
(866) 811-5474
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/30/2025
Last updated
04/22/2026
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