Provider Demographics
NPI:1578061842
Name:ALASKANS-NOT-ALASKAN'TS
Entity Type:Organization
Organization Name:ALASKANS-NOT-ALASKAN'TS
Other - Org Name:ANA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FRITZ
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-398-8851
Mailing Address - Street 1:43850 ROSS DR
Mailing Address - Street 2:
Mailing Address - City:SOLDOTNA
Mailing Address - State:AK
Mailing Address - Zip Code:99669-6809
Mailing Address - Country:US
Mailing Address - Phone:907-398-8851
Mailing Address - Fax:
Practice Address - Street 1:43850 ROSS DR
Practice Address - Street 2:
Practice Address - City:SOLDOTNA
Practice Address - State:AK
Practice Address - Zip Code:99669-6809
Practice Address - Country:US
Practice Address - Phone:907-398-8851
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-31
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services