Organization
KNIK TRIBE
Active
Other names
Senior Services
Organization subpart
No
Provider details
NPI number
Authorized official
RISTA SHELLEY (ELDER SUPPORT SPECIALIST)
(907) 373-7991
Entity
Organization
Contact information
Practice address
1744 N PROSPECT DR, PALMER, AK 99645-9655
(907) 373-7991
Mailing address
PO BOX 871565, WASILLA, AK 99687-1565
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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