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Organization
PRESBYTERIAN HOSPITALITY HOUSE
Active
Organization
PRESBYTERIAN HOSPITALITY HOUSE
Active
Other names
Silverberry Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DRENDA TIGNER MA (EXCUTIVE DIRECTOR)
(907) 456-6445
Entity
Organization
Contact information
Practice address
1260 SILVERBERRY DR, FAIRBANKS, AK 99712-2736
(907) 456-6445
(907) 456-6402
Mailing address
209 FORTY MILE AVE, FAIRBANKS, AK 99701-3110
(907) 456-6445
(907) 456-6402
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH2770
—
AK
Enumeration date
05/01/2007
Last updated
11/01/2012
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