| Organization Name: | MANIILAQ |
| NPI Number: | 1376991844 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAYMOND COPPOCK (COUNSLOR) |
| Mailing Address: | 733 2nd Ave Kotzebue |
| State: | AK US |
| Postal Code: | 997520256 |
| Phone Number: | 9074427640 |
| Fax Number: | 9074427749 |
| NPI Enumeration Date: | 05/25/2016 |
| NPI Last Update Date: | 05/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282E00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Long Term Care Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |