Provider Demographics
NPI:1952895336
Name:AK WAIVER AND TEFRA PLANNING LLC
Entity Type:Organization
Organization Name:AK WAIVER AND TEFRA PLANNING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:HANSCOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-953-1504
Mailing Address - Street 1:PO BOX 911371
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99509
Mailing Address - Country:US
Mailing Address - Phone:907-953-1504
Mailing Address - Fax:907-276-0102
Practice Address - Street 1:14041 SUNVIEW DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-4131
Practice Address - Country:US
Practice Address - Phone:907-953-1504
Practice Address - Fax:907-276-0102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-19
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management