Organization
KAT'S ELDERCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY ANN WALSH (ADMINISTRATOR)
(907) 262-0496
Entity
Organization
Contact information
Practice address
53030 AURORA AVE., KASILOF, AK 99610
(907) 262-0496
(907) 260-3340
Mailing address
PO BOX 55, KASILOF, AK 99610
(907) 262-0496
(907) 260-3340
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
000238
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL36261
—
AK
Enumeration date
03/05/2007
Last updated
08/22/2020
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