Organization
ISLAND BLESSINGS CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLENE LAUANO (OWNER)
(907) 538-9667
Entity
Organization
Contact information
Practice address
10322 CHAIN OF ROCK ST, EAGLE RIVER, AK 99577
(907) 538-9667
(907) 538-4002
Mailing address
10322 CHAIN OF ROCK ST, EAGLE RIVER, AK 99577-8184
(907) 538-9667
(907) 929-9005
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
101073
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659773422
NPI
AK
Enumeration date
10/13/2014
Last updated
10/13/2014
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