| Organization Name: | CHUGIAK SENIOR CITIZENS, INC. |
| NPI Number: | 1134241573 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA HENDRICKSON (EXECUTIVE DIRECTOR) |
| Mailing Address: | 22424 Birchwood Loop Rd Chugiak |
| State: | AK US |
| Postal Code: | 995676476 |
| Phone Number: | 9076882678 |
| Fax Number: | 9076881319 |
| NPI Enumeration Date: | 04/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | 000012 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | AK |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |