Integrated Care, LLC

NPI #1104154913 in Wasilla, Alaska

Provider Information

NPI Number
1104154913
Entity Type
Organization
Organization Name
Integrated Care, LLC
Primary Specialty
General Practice
Enumeration Date
Dec 7, 2009
Last Updated
Dec 7, 2009

Practice Location

Address
540 E HJELLEN DRIVE
State
Alaska
ZIP Code
99654
Phone
(907) 696-1654

Authorized Official

Name
MICHAEL T UNDERWOOD, BBA
Title
AGENT
Phone
(907) 696-1654

Specialties & Taxonomy Codes

Specialty
General Practice

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