Organization
STONE BROOK INN INC
Active
Other names
Stone Brook Inn 2
Organization subpart
No
Provider details
NPI number
Authorized official
AUDRA HEDMAN (PRESIDENT-ADMINISTRATOR)
(907) 252-2679
Entity
Organization
Contact information
Practice address
48420 MOOSE RUN ROAD, SOLDOTNA, AK 99669
(907) 260-4498
(907) 262-1593
Mailing address
PO BOX 144, SOLDOTNA, AK 99669-0144
(907) 260-4498
(907) 262-1593
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL54122
—
AK
Enumeration date
04/06/2007
Last updated
08/22/2020
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