NPI 1841594827

Southcentral Foundation

Organisation Dietary Manager Anchorage, AK

Practice location

Address: 4201 Tudor Centre Dr Attn: Diabetes Education, Anchorage, AK 99508-5904
Phone: (907) 729-4380
Mailing address: 4501 Diplomacy Dr Attn: Provider Enrollment, Anchorage, AK 99508-5919

Authorised official

Name: Ronald Lee Olson
Title: Vp Finance
Phone: (907) 729-4939

Registered specialties

Dietary Manager Primary

Dietary & Nutritional Service Providers Taxonomy 132700000X Licence 20467 (AK)

Other Dietary Manager providers in Alaska →

Registry record

NPI: 1841594827
Entity type: Organization
NPI issued: 5 Jan 2011
Record last updated: 28 Jan 2016

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.