Organization
NETTIES CARE COORDINATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNETT LYNN BROOKSHIRE (CARE COORDINATOR/OWNER)
(907) 776-5242
Entity
Organization
Contact information
Practice address
51768 STANGA STREET, NIKISKI, AK 99635-9513
(907) 776-5242
(907) 776-5227
Mailing address
PO BOX 8526, NIKISKI, AK 99635-8526
(907) 776-5242
(907) 776-5227
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
946200
AK
Other
Enumeration date
09/22/2010
Last updated
08/01/2011
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