Organization
CATHOLIC COMMUNITY SERVICE
Active
Other names
KAKE SENIOR CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CARSON (HHCJ DIRECTOR/COMPLIANCE OFFICER)
(907) 463-6162
Entity
Organization
Contact information
Practice address
177 3RD AVE, KAKE, AK 99830-0251
(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
—
1004625
—
AK
05
—
HC2663
—
AK
Enumeration date
03/27/2007
Last updated
03/30/2021
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