Organization
SOUTHCENTRAL FOUNDATION
Active
Other names
Home Based Services
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD LEE OLSON (VP FINANCE)
(907) 729-4939
Entity
Organization
Contact information
Practice address
4160 TUDOR CENTRE DR, ANCHORAGE, AK 99508-5901
(907) 729-2490
(907) 729-2489
Mailing address
4501 DIPLOMACY DR, ATTN: PROVIDER ENROLLMENT, ANCHORAGE, AK 99508-5919
(907) 729-4955
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
20467
AK
Other
Enumeration date
04/11/2007
Last updated
01/28/2016
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