Organization
ALICE SHANTZ
Active
Other names
TUNDRA SUITES, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE S SHANTZ (OWNER)
(907) 543-3232
Entity
Organization
Contact information
Practice address
473 RIDGECREST DRIVE, BOX 1915, BETHEL, AK 99559-1915
(907) 543-3232
(907) 543-1443
Mailing address
PO BOX 1915, 473 RIDGECREST DRIVE, BETHEL, AK 99559-1915
(907) 543-3232
(907) 543-1443
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
432920
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HM3180
—
AK
Enumeration date
04/27/2007
Last updated
09/20/2007
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