Organization
PRIBBENOW PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETCHEN PRIBBENOW (ADMINISTRATOR/OWNER)
(907) 252-5048
Entity
Organization
Contact information
Practice address
1115 WALNUT AVE, KENAI, AK 99611-7506
(907) 252-5048
Mailing address
PO BOX 1321, KENAI, AK 99611-1321
(907) 252-5048
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/01/2016
Last updated
10/01/2016
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