Provider Demographics
NPI:1134329212
Name:ASSISTEDCARE SERVICES, LLC
Entity Type:Organization
Organization Name:ASSISTEDCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLAIDE
Authorized Official - Middle Name:TEMITOPE
Authorized Official - Last Name:WOLFE
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:907-929-2828
Mailing Address - Street 1:PO BOX 221876
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99522-1876
Mailing Address - Country:US
Mailing Address - Phone:907-929-2828
Mailing Address - Fax:907-929-5858
Practice Address - Street 1:405 E FIREWEED LN STE 202
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-2145
Practice Address - Country:US
Practice Address - Phone:907-929-2828
Practice Address - Fax:907-929-5858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK737091251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management