Organization Name: | ASSISTEDCARE SERVICES, LLC |
NPI Number: | 1528279353 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DWAYNE ANTHONY WOLFE (ADMINISTRATIVE ASSISTANT) |
Mailing Address: | 405 E Fireweed Ln Suite 202 Anchorage |
State: | AK US |
Postal Code: | 995032111 |
Phone Number: | 9079292828 |
Fax Number: | 9079295858 |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |