Organization
CATHOLIC COMMUNITY SERVICE
Active
Other names
KETCHIKAN SENIOR CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CARSON (DIRECTOR OF HHCJ/ COMPLIANCE)
(907) 463-6162
Entity
Organization
Contact information
Practice address
1016 WATER ST, KETCHIKAN, AK 99901-6147
(907) 463-6149
Mailing address
1803 GLACIER HWY, JUNEAU, AK 99801-7804
(907) 463-6100
(907) 586-9018
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004614
—
AK
05
—
HC2652
—
AK
Enumeration date
03/26/2007
Last updated
03/30/2021
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