Provider Demographics
NPI:1326758103
Name:IT WORKS CADAVOS FOSTER HOME
Entity Type:Organization
Organization Name:IT WORKS CADAVOS FOSTER HOME
Other - Org Name:IT WORKS CADAVOS FOSTER HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIALIZA
Authorized Official - Middle Name:NARANJO
Authorized Official - Last Name:CADAVOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-339-8015
Mailing Address - Street 1:2955 LEAWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99502-1618
Mailing Address - Country:US
Mailing Address - Phone:907-339-8015
Mailing Address - Fax:907-308-6856
Practice Address - Street 1:2955 LEAWOOD DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99502-1618
Practice Address - Country:US
Practice Address - Phone:907-339-8015
Practice Address - Fax:907-308-6856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-01
Last Update Date:2022-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No253J00000XAgenciesFoster Care Agency