Provider Demographics
NPI:1659741890
Name:ABACUS CARE COORDINATION
Entity Type:Organization
Organization Name:ABACUS CARE COORDINATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:R
Authorized Official - Last Name:CROLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-351-6910
Mailing Address - Street 1:404 EKLUTNA ST # B
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-2141
Mailing Address - Country:US
Mailing Address - Phone:907-351-6910
Mailing Address - Fax:
Practice Address - Street 1:404 EKLUTNA ST # B
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-2141
Practice Address - Country:US
Practice Address - Phone:907-351-6910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-30
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management