| NPI | 1013684414 |
|---|---|
| Doing Business As | FAIRBANKS COMMUNITY CARE COORDINATION |
| Entity Type | Organization |
| Authorized Contact | AMANDA ELLIS Owner/Administrator 907-398-7297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2021-08-24 |