institution
Alice Shantz
Lodging Provider in Bethel, Alaska
NPI 1013137348

Alice Shantz is a Lodging Provider based in Bethel, AK. Alice Shantz practices in Bethel, AK. The NPI Number for Alice Shantz is 1013137348 and holds a License No. 432920 (Alaska).

The current practice location address for Alice Shantz is 473 Ridgecrest Drive, Bethel, AK and can be reached out via phone at 907-543-3232 and via fax at 907-543-1443. You can also correspond with Alice Shantz through the mailing address at PO BOX 1915, BETHEL, AK - 99559-1915 (mailing address contact number: 907-543-3232).

Location: 473 Ridgecrest Drive, Bethel, AK, 99559-1915
institution
Provider Profile Details
NPI Number
1013137348
Provider Name
Alice Shantz
Credential
Provider Entity Type
Organization
Address
473 Ridgecrest Drive, Bethel, AK, 99559-1915
Phone Number
907-543-3232
Fax Number
907-543-1443
Provider Enumeration Date
04/27/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
HM3180 05 AK
institution
Provider Business Practice Location Address Details
Address
473 Ridgecrest Drive
City
State
Zip
99559-1915
Phone Number
907-543-3232
Fax Number
907-543-1443
person
Provider Business Mailing Address Details
Address
473 Ridgecrest Drive
City
State
Zip
99559-1915
Phone Number
907-543-3232
Fax Number
907-543-1443
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Lodging
Speciality
-
Taxonomy
License No.
432920 (Alaska)
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
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