Organization
COMMUNITY INCLUSION SERVICES
Active
Organization
COMMUNITY INCLUSION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY PLETNIKOFF (DIRECTOR)
(907) 486-3995
Entity
Organization
Contact information
Practice address
914 STELLER WAY, KODIAK, AK 99615-6490
(907) 486-3995
Mailing address
PO BOX 147, KODIAK, AK 99615-0147
(907) 486-3995
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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