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Petersburg Borough
Assisted Living Facility in Petersburg, Alaska
NPI 1023132784

Petersburg Borough is an Assisted Living Facility based in Petersburg, AK. Petersburg Borough practices in Petersburg, AK. The NPI Number for Petersburg Borough is 1023132784 and holds a License No. 00276 (Alaska).

The current practice location address for Petersburg Borough is 16 North 12Th Street, Petersburg, AK and can be reached out via phone at 907-772-3445 and via fax at 907-772-4217.

Location: 16 North 12Th Street, Petersburg, AK, 99833-1530
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023132784
Provider Name
Petersburg Borough
Credential
Provider Entity Type
Organization
Address
16 North 12Th Street, Petersburg, AK, 99833-1530
Phone Number
907-772-3445
Fax Number
907-772-4217
Provider Enumeration Date
03/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RL5005 05 AK
institution
Provider Business Practice Location Address Details
Address
16 North 12Th Street
City
Petersburg
State
Alaska
Zip
99833-0000
Phone Number
907-772-3445
Fax Number
907-772-4217
person
Provider Business Mailing Address Details
Address
16 North 12Th Street
City
Petersburg
State
Alaska
Zip
99833-0000
Phone Number
907-772-3445
Fax Number
907-772-4217
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
00276 (Alaska)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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