Integrated Care, Llc

NPI 1104154913 - General Practice - 208D00000X

NPI Details
NPI 1104154913
Enumeration Date 12/07/2009
Last Updated 12/07/2009
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name MICHAEL T MICHAEL
Position AGENT
Phone (907) 696-1654
Fax (907) 696-3654
Practice Location
540 E HJELLEN DRIVE
WASILLA AK, 99654, US
Phone (907) 696-1654
Fax (907) 696-3654
Business Location
PO BOX 773313
EAGLE RIVER AK, 99577-3313, US
Phone (907) 696-1654
Fax (907) 696-3654
Toxanomy
Taxonomy Code 208D00000X
License State Alaska
License Number 380
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According to our database, Integrated Care, Llc NPI is 1104154913, taxonomy code is 208D00000X and license number is 380, license state is located at Alaska. Integrated Care, Llc physically located at 540 E Hjellen Drive, Wasilla AK, 99654. NPI Number 1033115704 has the healthcare provider type.

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1104154913 NPI number is provided on an as is basis without warranty of any kind. 1104154913 is maintained by the National Plan & Provider Enumeration System. The contents of Integrated Care, Llc are for informational purposes only.