NPI 1205050697

Prime Care INC.

Organisation Supports Brokerage Agency Anchorage, AK

Practice location

Address: 3701 East Tudor Rd Suite 204, Anchorage, AK 99508
Phone: (907) 333-4023
Fax: (907) 337-2079
Mailing address: 3701 E Tudor Rd Suite 204, Anchorage, AK 99508

Authorised official

Name: Ganiyu Shittu
Title: Director
Phone: (907) 333-4023

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X Licence PCG134 (AK)

Other Supports Brokerage providers in Alaska →

Registry record

NPI: 1205050697
Entity type: Organization
NPI issued: 13 Apr 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.