Organization
NIKISKI SENIOR CITIZENS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGH HAGSTROM-SANGER (EXECUTIVE DIRECTOR)
(907) 776-7654
Entity
Organization
Contact information
Practice address
50810 ISLAND LAKE ROAD, NIKISKI, AK 99635
(907) 776-7654
Mailing address
PO BOX 6973, NIKISKI, AK 99635-6973
(907) 776-7654
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC4377
—
AK
Enumeration date
04/11/2007
Last updated
08/22/2020
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