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LINDA LUPIE
Personal Care Attendant >> Technician >> Nursing Service Related ProvidersRegistrant NPI Number: 1205043551
Individual Registrant: LINDA LUPIE
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
700 CHIEF EDDIE HOFFMAN HIGHWAY BETHEL, AK 99559 US
Tel: 907-543-6300 Fax: 907-543-6366
Tel: 907-543-6300 Fax: 907-543-6366
Contact information for business:
PO BOX 528 BETHEL, AK 99559-0528 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1205043551
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 3747P1801X | Nursing Service Related Providers Technician Personal Care Attendant | ||
| N | 373H00000X | Nursing Service Related Providers Day Training/Habilitation Specialist | ||
| Y | 171M00000X | Other Service Providers Case Manager/Care Coordinator | AK |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
