NPI 1023132784

Petersburg Borough

Organisation Assisted Living Facility Petersburg, AK

Practice location

Address: 16 North 12th Street, Petersburg, AK 99833-0000
Phone: (907) 772-3445
Fax: (907) 772-4217
Mailing address: PO Box 1530, Petersburg, AK 99833-1530

Authorised official

Name: Shelyn Marie Bell
Title: Director/Administrator
Phone: (907) 772-2445

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 00276 (AK)

Other Assisted Living Facility providers in Alaska →

Registry record

NPI: 1023132784
Entity type: Organization
NPI issued: 19 Mar 2007
Record last updated: 29 Dec 2021

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.