Organization
PETERSBURG BOROUGH
Active
Organization
PETERSBURG BOROUGH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELYN MARIE BELL (DIRECTOR/ADMINISTRATOR)
(907) 772-2445
Entity
Organization
Contact information
Practice address
16 NORTH 12TH STREET, PETERSBURG, AK 99833-0000
(907) 772-3445
(907) 772-4217
Mailing address
PO BOX 1530, PETERSBURG, AK 99833-1530
(907) 772-2445
(907) 772-2435
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
00276
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL5005
—
AK
Enumeration date
03/19/2007
Last updated
12/29/2021
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