Provider Demographics
NPI:1861725020
Name:FRANK STREET LLC
Entity type:Organization
Organization Name:FRANK STREET LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROGRAM ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BARRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-244-2585
Mailing Address - Street 1:510 W 41ST AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-6646
Mailing Address - Country:US
Mailing Address - Phone:907-244-2585
Mailing Address - Fax:907-222-5226
Practice Address - Street 1:510 W 41ST AVE
Practice Address - Street 2:SUITE B
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-6646
Practice Address - Country:US
Practice Address - Phone:907-244-2585
Practice Address - Fax:907-222-5226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-04
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty