Organization
SUNSET DEVELOPMENT CO OF KODIAK
Active
Other names
Bayview Terrace
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ANN COOPER (ADMINISTRATOR)
(907) 481-1607
Entity
Organization
Contact information
Practice address
309 ERSKINE AVE APT 208, KODIAK, AK 99615-6390
(907) 481-1607
Mailing address
309 ERSKINE AVE APT 208, KODIAK, AK 99615-6390
(907) 481-1607
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC9400
—
AK
Enumeration date
03/20/2007
Last updated
08/22/2020
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