Set Free Alaska, Inc. | |
51310 Timber Bay Court Homer AK 99603-9968 | |
(907) 373-4732 | |
Not Available |
Full Name | Set Free Alaska, Inc. |
---|---|
Speciality | Substance Abuse Rehabilitation Facility |
Location | 51310 Timber Bay Court, Homer, Alaska |
Authorized Official Name and Position | Joyce Stein (CFO) |
Authorized Official Contact | 9073734732 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Set Free Alaska, Inc. Po Box 876741 Wasilla AK 99687-6741 Ph: (907) 373-4732 | Set Free Alaska, Inc. 51310 Timber Bay Court Homer AK 99603-9968 Ph: (907) 373-4732 |
NPI Number | 1780220012 |
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Provider Enumeration Date | 11/21/2019 |
Last Update Date | 08/19/2024 |
Certification Date | 08/19/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780220012 | NPI | - | NPPES |
1706868 | Medicaid | AK | |
602-239-20011 | Other | AK | STATE OF ALASKA GRANT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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