Organization
AGAPE CARE COORDINATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA WILLEMS (ADMINISTRATOR)
(907) 202-3379
Entity
Organization
Contact information
Practice address
2050 PAXSON DR., ANCHORAGE, AK 99504
(907) 202-3379
Mailing address
2050 PAXSON DR., ANCHORAGE, AK 99504
(907) 202-3379
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629601
—
AK
Enumeration date
10/27/2016
Last updated
10/27/2016
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