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Src Case Management Group

Src Case Management Group is a health care provider in Wasilla, AK. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 6033 N Sitze Rd, Wasilla, AK 99623-9078, US
Practice Location Phone907-250-6648
Practice Location Fax
Legal Business NameSRC CASE MANAGEMENT GROUP
NPI ?1558759340
Entity TypeOrganization
Enumeration Date ? Dec 31, 2014
Last Update Date ? Dec 31, 2014
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Src Case Management Group

SpecialtySpecializationLicenseLicense State
Case Management 1014463Alaska

official-icon Authorized Official of Src Case Management Group

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Src Case Management Group's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Irina Geddes
Authorized Official Title/PositionPRESIDENT
Authorized Official Phone Number907-250-6648