Northwest Independence Care LLC

NPI #1205259926 in Anchorage, Alaska

Provider Information

NPI Number
1205259926
Entity Type
Organization
Organization Name
Northwest Independence Care LLC
Primary Specialty
Health Maintenance Organization
Enumeration Date
Jan 31, 2014
Last Updated
Jan 31, 2014

Practice Location

Address
2701 KEMPTON HILLS DR
State
Alaska
ZIP Code
99516-2749
Phone
(907) 575-8501

Authorized Official

Name
MRS. MARY CATHERINE EVANS, LCSW
Title
CARE COORDINATOR ADMINISTRATOR
Phone
(907) 575-8501

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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