National Provider Identifier Database

KODIAK ISLAND ASSISTED LIVING LLC
Day Training, Developmentally Disabled Services

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.


Contact Information

KODIAK ISLAND ASSISTED LIVING, LLC
1814 SIMEONOF ST
KODIAK, AK99615-6517
Phone: 915-841-1117
Fax:
Website:
Specialty Taxonomy Code
* Day Training, Developmentally Disabled Services 251C00000X
In Home Supportive Care 253Z00000X

* Indicates primary specialty

NPI Profile & details for KODIAK ISLAND ASSISTED LIVING, LLC

NPI Number 1063259687
Legal business name
LBN
KODIAK ISLAND ASSISTED LIVING, LLC
Authorized official MARY JEAN SILVA - (ADMINSTRATOR)
Entity Organization
Organization subpart No
Enumeration date 07/11/2024
Last updated 07/11/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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