NPI 1063259687
Kodiak Island Assisted Living, LLC
Practice location
- Address
- 1814 Simeonof St, Kodiak, AK 99615-6517
- Phone
- (915) 841-1117
- Mailing address
- 914 Thorsheim St, Kodiak, AK 99615-6165
Authorised official
- Name
- Mary Jean V Silva
- Title
- Adminstrator
- Phone
- (915) 841-1117
Registered specialties (2)
Developmentally Disabled Services Day Training Agency
Primary
In Home Supportive Care Agency
Registry record
- NPI
- 1063259687
- Entity type
- Organization
- NPI issued
- 11 Jul 2024
- Record last updated
- 11 Jul 2024
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.