Kodiak Island Assisted Living, LLC

NPI #1093538456 in Kodiak, Alaska

Provider Information

NPI Number: 1093538456
Entity Type: Organization
Organization Name: Kodiak Island Assisted Living, LLC
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Nov 4, 2024
Last Updated: Nov 4, 2024

Practice Location

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

Authorized Official

Name: MS. MARY JEAN V SILVA
Title: ADMINISTRATOR
Phone: (915) 841-1117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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