Organization
A KODIAK WELCOME BED AND BREAKFAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL G ROSTAD (BED AND BREAKFAST MANAGER)
(907) 486-2908
Entity
Organization
Contact information
Practice address
3570 SEAN CIRCLE, KODIAK, AK 99615
(907) 486-2908
Mailing address
PO BOX 1922, KODIAK, AK 99615-1922
(907) 486-2908
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
295003
AK
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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