| Organization Name: | HOMER SENIOR CITIZENS, INC. |
| NPI Number: | 1528284056 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FRED L LAU (ADMINISTRATOR) |
| Mailing Address: | 3935 Svedlund St Homer |
| State: | AK US |
| Postal Code: | 996037673 |
| Phone Number: | 9072357655 |
| Fax Number: | 9072353739 |
| NPI Enumeration Date: | 04/17/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | 203960 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |