Organization Name: | CATHOLIC COMMUNITY SERVICE INC |
NPI Number: | 1093821373 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JULIE DYAR (ASSISTANT FINANCE DIRECTOR) |
Mailing Address: | 419 6th St Juneau |
State: | AK US |
Postal Code: | 998011020 |
Phone Number: | 9074636149 |
Fax Number: | 9075869018 |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 08/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AK |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |