Louisa's Legacy

NPI #1992067912 in Anchorage, Alaska

Provider Information

NPI Number
1992067912
Entity Type
Organization
Organization Name
Louisa's Legacy
Primary Specialty
Case Management
Enumeration Date
Jun 14, 2012
Last Updated
Jun 14, 2012

Practice Location

Address
555 W NORTHERN LIGHTS BLVD
Address 2
#234
State
Alaska
ZIP Code
99503-2501
Phone
(907) 771-4010

Authorized Official

Name
JUAN SAN MIGUEL, CC
Title
OWNER/OPERATOR
Phone
(907) 771-4010

Specialties & Taxonomy Codes

Specialty
Case Management

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