| Lupine Family Services, Llc | |
|
43335 Kalifornski Beach Rd Bldg G Soldotna AK 99669-8280 | |
| (907) 250-1304 | |
| (949) 863-5157 |
| Full Name | Lupine Family Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 43335 Kalifornski Beach Rd Bldg G, Soldotna, Alaska |
| Authorized Official Name and Position | Colleen Shawna Nusbaum (DIRECTOR) |
| Authorized Official Contact | 9073944442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lupine Family Services, Llc 520 Ames Rd Unit 2 Kenai AK 99611-8333 Ph: (907) 394-4442 | Lupine Family Services, Llc 43335 Kalifornski Beach Rd Bldg G Soldotna AK 99669-8280 Ph: (907) 250-1304 |
| NPI Number | 1861154262 |
|---|---|
| Provider Enumeration Date | 10/13/2021 |
| Last Update Date | 10/26/2021 |
| Certification Date | 10/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861154262 | NPI | - | NPPES |
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