Healthcare Provider Details

I. General information

NPI: 1528756681
Provider Name (Legal Business Name): SEAK CARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2023
Last Update Date: 05/17/2023
Certification Date: 05/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1505 5TH ST # A
DOUGLAS AK
99824-5224
US

IV. Provider business mailing address

PO BOX 20276
JUNEAU AK
99802-0276
US

V. Phone/Fax

Practice location:
  • Phone: 360-473-6274
  • Fax:
Mailing address:
  • Phone: 360-473-6274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA SMITH
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 360-473-6274