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Maniilaq Association Ksccc
Assisted Living Facility in Kotzebue, Alaska
NPI 1629109939

Maniilaq Association Ksccc is an Assisted Living Facility based in Kotzebue, AK. Maniilaq Association Ksccc practices in Kotzebue, AK. The NPI Number for Maniilaq Association Ksccc is 1629109939 and holds a License No. 000063 (Alaska).

The current practice location address for Maniilaq Association Ksccc is 607 Wolverine Drive, Kotzebue, AK and can be reached out via phone at 907-442-7917 and via fax at 907-442-7932. You can also correspond with Maniilaq Association Ksccc through the mailing address at PO BOX 1073, KOTZEBUE, AK - 99752-1073 (mailing address contact number: 907-442-7917).

Location: 607 Wolverine Drive, Kotzebue, AK, 99752-1073
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629109939
Provider Name
Maniilaq Association Ksccc
Credential
Provider Entity Type
Organization
Address
607 Wolverine Drive, Kotzebue, AK, 99752-1073
Phone Number
907-442-7917
Fax Number
907-442-7932
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RL3590 05 AK
CMG590 05 AK
institution
Provider Business Practice Location Address Details
Address
607 Wolverine Drive
City
Kotzebue
State
Alaska
Zip
99752-1073
Phone Number
907-442-7917
Fax Number
907-442-7932
person
Provider Business Mailing Address Details
Address
607 Wolverine Drive
City
Kotzebue
State
Alaska
Zip
99752-1073
Phone Number
907-442-7917
Fax Number
907-442-7932
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
000063 (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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