Organization
PREMIER INDEPENDENT CARE COORDINATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DASLIE E MOORE (OWNER)
(907) 538-7376
Entity
Organization
Contact information
Practice address
741 N BRAGAW ST, ANCHORAGE, AK 99508-1320
(907) 538-7376
Mailing address
741 N BRAGAW ST, ANCHORAGE, AK 99508-1320
(907) 538-7376
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1023743
AK
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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