Organization Name: | NINILCHIK SENIOR CITIZENS, INC. |
NPI Number: | 1093840324 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | J WELCH (DIRECTOR) |
Mailing Address: | 66265 Aspen Ave Ninilchik |
State: | AK US |
Postal Code: | 996390422 |
Phone Number: | 9075673988 |
Fax Number: | 9075673968 |
NPI Enumeration Date: | 02/23/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | 724049 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |