Southcentral Foundation
Southcentral Foundation is a Dietary Manager in Anchorage, Alaska. Licensed in Alaska. Registered with an NPI since 2011.
- Licensed in
- AK
- In the registry since
- 2011
Practice location Address checks out
4201 Tudor Centre Dr Attn: Diabetes EducationAnchorage, AK 99508-5904
Phone: (907) 729-4380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dietary Manager (primary) | Taxonomy 132700000X · Licence 20467 (AK) |
|---|
Record details
| NPI number | 1841594827 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ronald Olson — Vp Finance · (907) 729-4939 |
| Other names | Diabetes Wellness Gathering Program |
| NPI enumerated | January 5, 2011 |
| Last updated in NPPES | January 28, 2016 |
| Mailing address | 4501 Diplomacy Dr, Attn: Provider Enrollment, Anchorage, AK 99508-5919 |