Organization
DOUGLAS ISLAND GIRL LLC
Active
Other names
Douglas Island Case Management
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA R RANSOM (CEO)
(907) 364-2395
Entity
Organization
Contact information
Practice address
2190 LAWSON CREEK RD APT B, DOUGLAS, AK 99824-5028
(907) 364-2395
Mailing address
2190 LAWSON CREEK RD APT B, DOUGLAS, AK 99824-5028
(907) 364-2395
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1023230
AK
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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