# KAWERAK INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Jacobs House
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629298120
- **Authorized official:** MS. LORETTA BULLARD (PRESIDENT)
- **Authorized official phone:** (907) 443-5231

## Contact information

- **Practice address:** 407 K STREET, NOME, AK 99762
- **Practice address phone:** (907) 443-8096
- **Practice address fax:** (907) 443-2708
- **Mailing address:** PO BOX 948, P.O. BOX 948, NOME, AK 99762-0948
- **Mailing address phone:** (907) 443-8096
- **Mailing address fax:** (907) 443-2708

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 400297 | AK | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 07/08/2008