| Frontier Serenity, Llc | |
|
625 S Cobb St Ste 201 Palmer AK 99645-6480 | |
| (907) 355-1083 | |
| Not Available |
| Full Name | Frontier Serenity, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 625 S Cobb St Ste 201, Palmer, Alaska |
| Authorized Official Name and Position | Laura Ann Condon (OWNER) |
| Authorized Official Contact | 9073551083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frontier Serenity, Llc Po Box 1167 Palmer AK 99645-1167 Ph: (907) 355-1083 | Frontier Serenity, Llc 625 S Cobb St Ste 201 Palmer AK 99645-6480 Ph: (907) 355-1083 |
| NPI Number | 1083344667 |
|---|---|
| Provider Enumeration Date | 06/15/2022 |
| Last Update Date | 06/16/2022 |
| Certification Date | 06/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083344667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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