# PRESBYTERIAN HOSPITALITY HOUSE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hood Ct
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639425812
- **Authorized official:** DRENDA M TIGNER B.A., M.A. (CEO)
- **Authorized official phone:** (907) 456-6445

## Contact information

- **Practice address:** 6969 S HOOD CT, WASILLA, AK 99624
- **Practice address phone:** (907) 357-0487
- **Practice address fax:** (907) 376-6402
- **Mailing address:** 209 FORTY MILE AVE, FAIRBANKS, AK 99701-3110
- **Mailing address phone:** (907) 456-6445
- **Mailing address fax:** (907) 456-6402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 1639 | AK | Yes |

## Other

- **Enumeration date:** 07/25/2012
- **Last updated:** 11/05/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | MH2770 | — | AK |