Alpha Omega Life Care, Inc.

NPI 1003961715 - Voluntary or Charitable - 251V00000X

NPI Details
NPI 1003961715
Enumeration Date 01/24/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KENNETH EDWARD KENNETH
Position EXECUTIVE DIRECTOR
Phone (907) 895-4104
Fax (907) 895-4143
Practice Location
2415 RAPIDS ST.
DELTA JUNCTION AK, 99737-1009, US
Phone (907) 895-4104
Fax (907) 895-4143
Business Location
PO BOX 1009
2415 RAPIDS ST.
DELTA JUNCTION AK, 99737-1009, US
Phone (907) 895-4104
Fax (907) 895-4143
Toxanomy
Taxonomy Code 251V00000X
License State Alaska
License Number 714589
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According to our database, Alpha Omega Life Care, Inc. NPI is 1003961715, taxonomy code is 251V00000X and license number is 714589, license state is located at Alaska. Alpha Omega Life Care, Inc. physically located at 2415 Rapids St., Delta Junction AK, 99737-1009. NPI Number 1033115704 has the healthcare provider type.

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1003961715 NPI number is provided on an as is basis without warranty of any kind. 1003961715 is maintained by the National Plan & Provider Enumeration System. The contents of Alpha Omega Life Care, Inc. are for informational purposes only.