Provider Demographics
NPI:1538299813
Name:ALASKA FAMILY WOMEN'S H.O.P. HOUSING SERVICE, INC
Entity Type:Organization
Organization Name:ALASKA FAMILY WOMEN'S H.O.P. HOUSING SERVICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAID ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NAOMA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:CULPEPPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-230-9419
Mailing Address - Street 1:2683 WESLEYAN DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-3700
Mailing Address - Country:US
Mailing Address - Phone:907-333-8749
Mailing Address - Fax:907-333-8749
Practice Address - Street 1:3201 E TUDOR RD
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-1212
Practice Address - Country:US
Practice Address - Phone:907-333-1877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes177F00000XOther Service ProvidersLodgingGroup - Multi-Specialty