Provider Demographics
NPI:1922256700
Name:ABIDING CARE COORDINATION
Entity Type:Organization
Organization Name:ABIDING CARE COORDINATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:D
Authorized Official - Middle Name:DARLENE
Authorized Official - Last Name:CUDIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-250-1890
Mailing Address - Street 1:317 STATE ST
Mailing Address - Street 2:# A
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-1564
Mailing Address - Country:US
Mailing Address - Phone:907-250-1890
Mailing Address - Fax:
Practice Address - Street 1:317 STATE ST
Practice Address - Street 2:# A
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-1564
Practice Address - Country:US
Practice Address - Phone:907-250-1890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-04
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK914615251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management