Healthcare Provider Details

I. General information

NPI: 1316108483
Provider Name (Legal Business Name): SENIOR CARE OF ALASKA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2008
Last Update Date: 07/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

241 E 5TH AVE STE 204
ANCHORAGE AK
99501-2512
US

IV. Provider business mailing address

241 E 5TH AVE STE 204
ANCHORAGE AK
99501-2512
US

V. Phone/Fax

Practice location:
  • Phone: 907-677-7890
  • Fax: 907-677-7989
Mailing address:
  • Phone: 907-677-7890
  • Fax: 907-677-7989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: MR. KEVIN M TURKINGTON
Title or Position: PRESIDENT
Credential: CSA
Phone: 907-677-7890