Healthcare Provider Details

I. General information

NPI: 1255669149
Provider Name (Legal Business Name): HORIZON CARE COORDINATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2009
Last Update Date: 03/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2018 CANNONEER CIR
ANCHORAGE AK
99507-4695
US

IV. Provider business mailing address

800 E DIMOND BLVD 3-131 PMB#250
ANCHORAGE AK
99515-2039
US

V. Phone/Fax

Practice location:
  • Phone: 907-529-8958
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MELANIE SPEAKS
Title or Position: SOLE PROPRIETOR/CARE COORDINATOR
Credential:
Phone: 907-529-8958