NPI 1306560644
Revive Alaska Community Services
Practice location
- Address
- 4317 Macinnes St, Anchorage, AK 99508-5135
- Phone
- (907) 717-9080
- Mailing address
- PO Box 231568, Anchorage, AK 99523-1568
Authorised official
- Name
- Prince Nwankudu
- Title
- President
- Phone
- (907) 903-0993
Registered specialties (2)
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1306560644
- Entity type
- Organization
- NPI issued
- 29 Sep 2022
- Record last updated
- 13 Oct 2022
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.