City Of Petersburg

NPI 1023132784 - Assisted Living Facility - 310400000X

NPI Details
NPI 1023132784
Enumeration Date 03/19/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name NANCY C NANCY
Position ADMINISTRATOR
Phone (907) 772-3445
Fax (907) 772-4217
Practice Location
16 NORTH 12TH STREET
PETERSBURG AK, 99833-0000, US
Phone (907) 772-3445
Fax (907) 772-4217
Business Location
PO BOX 329
PETERSBURG AK, 99833-0329, US
Phone
Fax
Toxanomy
Taxonomy Code 310400000X
License State Alaska
License Number 00276
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According to our database, City Of Petersburg NPI is 1023132784, taxonomy code is 310400000X and license number is 00276, license state is located at Alaska. City Of Petersburg physically located at 16 North 12th Street, Petersburg AK, 99833-0000. NPI Number 1033115704 has the healthcare provider type.

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1023132784 NPI number is provided on an as is basis without warranty of any kind. 1023132784 is maintained by the National Plan & Provider Enumeration System. The contents of City Of Petersburg are for informational purposes only.