Fairbanks Community Care Coordination

NPI #1013684414 in Fairbanks, Alaska

Provider Information

NPI Number: 1013684414
Entity Type: Organization
Organization Name: Fairbanks Community Care Coordination
Primary Specialty: Case Management
Enumeration Date: Aug 24, 2021
Last Updated: Aug 24, 2021

Practice Location

Address: 1902 CENTRAL AVE
City: Fairbanks
State: Alaska
ZIP Code: 99709-4223
Phone: (907) 398-7297

Authorized Official

Name: MISS AMANDA ELLIS
Title: OWNER/ADMINISTRATOR
Phone: (907) 398-7297

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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