Organization
PERSONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS LAMONT MURCHISON (ADMINSTRATOR)
(907) 278-2905
Entity
Organization
Contact information
Practice address
2905 E 20TH AVE, ANCHORAGE, AK 99508-3304
(907) 278-2905
Mailing address
2905 E 20TH AVE, ANCHORAGE, AK 99508-3304
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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