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Contact Information

KODIAK ISLAND ASSISTED LIVING, LLC
1814 SIMEONOF ST
KODIAK, AK99615-6517
 Phone: 915-841-1117
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Day Training, Developmentally Disabled Services

251C00000X
 

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for KODIAK ISLAND ASSISTED LIVING, LLC

NPI # 1063259687
LBN Legal business name KODIAK ISLAND ASSISTED LIVING, LLC
Authorized official MARY JEAN SILVA - (ADMINSTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/11/2024
Last updated 07/11/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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