| Organization Name: | IMMEDIATE CARE, INC |
| NPI Number: | 1902934300 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MIRASOL MIRASOL ISLA (DIRECTOR OF FINANCE) |
| Mailing Address: | 6311 Debarr Road Anchorage |
| State: | AK UM |
| Postal Code: | 99504 |
| Phone Number: | 9073363365 |
| Fax Number: | 9079295661 |
| NPI Enumeration Date: | 02/28/2007 |
| NPI Last Update Date: | 05/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | 714562 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AK |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |