Provider Demographics
NPI:1174732606
Name:ADULT CARE COORDINATION
Entity type:Organization
Organization Name:ADULT CARE COORDINATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:S
Authorized Official - Last Name:HAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-223-3499
Mailing Address - Street 1:15621 SOUTHPARK LOOP
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99516-4848
Mailing Address - Country:US
Mailing Address - Phone:907-223-3499
Mailing Address - Fax:907-345-6073
Practice Address - Street 1:15621 SOUTHPARK LOOP
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99516-4848
Practice Address - Country:US
Practice Address - Phone:907-223-3499
Practice Address - Fax:907-345-6073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management