Provider Demographics
NPI:1942912209
Name:INCLUSION CARE COORDINATION INC
Entity Type:Organization
Organization Name:INCLUSION CARE COORDINATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-635-1543
Mailing Address - Street 1:PO BOX 32014
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99803-2014
Mailing Address - Country:US
Mailing Address - Phone:907-635-1543
Mailing Address - Fax:833-583-0970
Practice Address - Street 1:9687 MORAINE WAY
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-8710
Practice Address - Country:US
Practice Address - Phone:907-635-1543
Practice Address - Fax:833-583-0970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management