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SENIOR CITIZENS OF KODIAK, INC.

Alzheimer Center

Kodiak, Alaska

Provider NPI: 1275672370

Organization Information:
Organization Name:  SENIOR CITIZENS OF KODIAK, INC.


Practice Location:
302 ERSKINE AVE  KODIAK, AK 99615 US
Tel: 907-486-6181  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
AKCMG249

Other Provider Identifiers:

IssuerNumberStateType
SENIOR CENTER=========AK01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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