Matanuska Mama, LLC

NPI #1629812417 in Palmer, Alaska

Provider Information

NPI Number: 1629812417
Entity Type: Organization
Organization Name: Matanuska Mama, LLC
Primary Specialty: Case Management
Enumeration Date: Jun 25, 2024
Last Updated: Jun 25, 2024

Practice Location

Address: 1355 NORTH TRANQUILITY LANE
City: Palmer
State: Alaska
ZIP Code: 99645
Phone: (907) 232-2510

Authorized Official

Name: KELLY M MCBRIDE
Title: ADMINISTRATOR
Phone: (907) 232-2510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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