NPI 1013137348

Alice Shantz

Organisation Lodging Provider Bethel, AK

Practice location

Address: 473 Ridgecrest Drive Box 1915, Bethel, AK 99559-1915
Phone: (907) 543-3232
Fax: (907) 543-1443
Mailing address: PO Box 1915 473 Ridgecrest Drive, Bethel, AK 99559-1915

Authorised official

Name: Alice S Shantz
Title: Owner
Phone: (907) 543-3232

Registered specialties

Lodging Provider Primary

Other Service Providers Taxonomy 177F00000X Licence 432920 (AK)

Other Lodging providers in Alaska →

Registry record

NPI: 1013137348
Entity type: Organization
NPI issued: 27 Apr 2007
Record last updated: 20 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.