Organization
ALASKA ISLAND COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WALKER MSW (EXECUTIVE DIRECTOR)
(907) 874-2373
Entity
Organization
Contact information
Practice address
333 CHURCH ST, WRANGELL, AK 99929-1231
(907) 874-2373
(907) 874-2576
Mailing address
PO BOX 1231, WRANGELL, AK 99929-1231
(907) 874-2373
(907) 874-2576
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMG543
—
AK
Enumeration date
05/01/2007
Last updated
08/22/2020
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