Organization Name: | HI SOUTHERN ALASKA, INC. |
NPI Number: | 1649406257 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STACEE LYNN FROST (PRES/CEO) |
Mailing Address: | 4050 Lake Otis Pkwy Suite 109 Anchorage |
State: | AK US |
Postal Code: | 995085223 |
Phone Number: | 9072774663 |
Fax Number: | 9072774667 |
NPI Enumeration Date: | 06/10/2009 |
NPI Last Update Date: | 06/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |