Swiftwater Group Alaska, LLC

NPI #1194012682 in Wasilla, Alaska

Provider Information

NPI Number: 1194012682
Entity Type: Organization
Organization Name: Swiftwater Group Alaska, LLC
Primary Specialty: Case Management
Enumeration Date: Jul 5, 2011
Last Updated: Jul 5, 2011

Practice Location

Address: 6065 N SITZE RD
City: Wasilla
State: Alaska
ZIP Code: 99654-9078
Phone: (907) 250-6648

Authorized Official

Name: MRS. IRINA VICTORIA GEDDES
Title: PRESIDENT / ADMINISTRATOR
Phone: (907) 250-6648

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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