Organization
PALMER SENIOR CITIZENS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY PETTIT (CEO)
(907) 761-5008
Entity
Organization
Contact information
Practice address
1132 S CHUGACH ST, PALMER, AK 99645-6627
(907) 623-7723
(907) 746-5173
Mailing address
1132 S CHUGACH ST, PALMER, AK 99645-6627
(907) 623-7723
(907) 746-5173
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
261860
AK
251V00000X
Voluntary or Charitable Agency
261859
AK
261Q00000X
Clinic/Center
261859
AK
261QA0600X
Adult Day Care Clinic/Center
Primary
283892
AK
343900000X
Non-emergency Medical Transport (VAN)
261861
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMG503
—
AK
05
—
HC7853
—
AK
05
—
TX6161
—
AK
Enumeration date
01/15/2007
Last updated
12/12/2024
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