Provider Demographics
NPI:1619519055
Name:PERSON CENTERED CARE CORRDINATION, INC.
Entity Type:Organization
Organization Name:PERSON CENTERED CARE CORRDINATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/INCORPORATOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:J
Authorized Official - Last Name:CRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-376-3263
Mailing Address - Street 1:4911 S ALBERT CIR
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99623-9864
Mailing Address - Country:US
Mailing Address - Phone:907-376-3263
Mailing Address - Fax:907-376-3266
Practice Address - Street 1:4911 S ALBERT CIR
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99623-9864
Practice Address - Country:US
Practice Address - Phone:907-376-3263
Practice Address - Fax:907-376-3266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-16
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management