Provider Demographics
NPI:1891999199
Name:COMPASSIONATE AND EFFECTIVE CARE
Entity Type:Organization
Organization Name:COMPASSIONATE AND EFFECTIVE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GISSELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DE LA CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-333-1999
Mailing Address - Street 1:PO BOX 200574
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99520-0574
Mailing Address - Country:US
Mailing Address - Phone:907-333-1999
Mailing Address - Fax:
Practice Address - Street 1:4640 REKA DR APT E14
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-3646
Practice Address - Country:US
Practice Address - Phone:907-333-1999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management