Organization
CITY OF SEWARD
Active
Other names
PROVIDENCE SEWARD MOUNTAIN HAVEN
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
2203 OAK STREET, SEWARD, AK 99664
(907) 224-5241
(907) 224-5250
Mailing address
PO BOX 430, SEWARD, AK 99664-0430
(907) 224-5241
(907) 224-5250
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NOT NUMBERED
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LT2487
—
AK
Enumeration date
08/18/2006
Last updated
05/12/2025
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