Organization
DIVISION OF ALASKAN PIONEER HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID D. COTE JR. (PROJECT COORDINATOR)
(907) 465-5737
Entity
Organization
Contact information
Practice address
141 BRYANT ST, KETCHIKAN, AK 99901-5575
(907) 465-5737
(907) 465-4108
Mailing address
P.O. BOX 110690, JUNEAU, AK 99811-0690
(907) 465-5737
(907) 465-4108
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL11855
—
AK
Enumeration date
03/26/2007
Last updated
08/22/2020
Update your record
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