Organization
ROTARY HOUSE OF KETCHIKAN INC
Active
Other names
KETCHIKAN ROTARY HOUSE
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK J BRANCO (BOARD MEMBER)
(907) 228-8300
Entity
Organization
Contact information
Practice address
320 BAWDEN ST, KETCHIKAN, AK 99901-6503
(907) 225-5131
Mailing address
2417 TONGASS AVE, SUITE 212, KETCHIKAN, AK 99901-5900
(907) 225-5131
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
222744
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HM2227
—
AK
Enumeration date
05/08/2007
Last updated
08/22/2020
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