| Organization Name: | SENIOR CITIZENS OF KODIAK, INC. |
| NPI Number: | 1275672370 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICIA BRANSON (EXECUTIVE DIRECTOR) |
| Mailing Address: | 302 Erskine Ave Kodiak |
| State: | AK US |
| Postal Code: | 996156341 |
| Phone Number: | 9074866181 |
| Fax Number: | 9074864503 |
| NPI Enumeration Date: | 02/05/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 311500000X |
| License Number: | CMG249 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Alzheimer Center (Dementia Center) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer |