Kodiak Island Assisted Living, LLC

NPI #1063259687 in Kodiak, Alaska

Provider Information

NPI Number
1063259687
Entity Type
Organization
Organization Name
Kodiak Island Assisted Living, LLC
Primary Specialty
Day Training, Developmentally Disabled Services
Enumeration Date
Jul 11, 2024
Last Updated
Jul 11, 2024

Practice Location

Address
1814 SIMEONOF ST
City
Kodiak
State
Alaska
ZIP Code
99615-6517
Phone
(915) 841-1117

Authorized Official

Name
DR. MARY JEAN V SILVA, PHD
Title
ADMINSTRATOR
Phone
(915) 841-1117

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care
Day Training, Developmentally Disabled Services

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