Provider Demographics
NPI:1518348770
Name:RAFIKI CARE COORDINATION
Entity Type:Organization
Organization Name:RAFIKI CARE COORDINATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARE COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KARIUKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-229-1208
Mailing Address - Street 1:PO BOX 241923
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99524-1923
Mailing Address - Country:US
Mailing Address - Phone:907-229-1208
Mailing Address - Fax:
Practice Address - Street 1:4109 LYNN DR APT 209
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5759
Practice Address - Country:US
Practice Address - Phone:907-229-1208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-13
Last Update Date:2015-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1018905251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management