Organization
SOUTHCENTRAL FOUNDATION
Active
Other names
Rendezvous
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD LEE OLSON (MANAGER OF REVENUE CYCLE)
(701) 729-4939
Entity
Organization
Contact information
Practice address
4353 RENDEZVOUS CIR, ANCHORAGE, AK 99504-4219
(907) 729-5273
(907) 729-8607
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-5418
(907) 729-8607
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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