Provider Demographics
NPI:1679055503
Name:COMPASSIONATE CARE COORDINATION & PLANNING LLC
Entity Type:Organization
Organization Name:COMPASSIONATE CARE COORDINATION & PLANNING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAFFERTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-252-1938
Mailing Address - Street 1:49855 BISHOP DR # 3
Mailing Address - Street 2:
Mailing Address - City:KENAI
Mailing Address - State:AK
Mailing Address - Zip Code:99611-9439
Mailing Address - Country:US
Mailing Address - Phone:907-252-1938
Mailing Address - Fax:
Practice Address - Street 1:49855 BISHOP DR # 3
Practice Address - Street 2:
Practice Address - City:KENAI
Practice Address - State:AK
Practice Address - Zip Code:99611-9439
Practice Address - Country:US
Practice Address - Phone:907-252-1938
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-06
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management