NPI 1114736899

Bountiful

Organisation Meals Provider Ketchikan, AK

Practice location

Address: 25 Jefferson Way STE 102, Ketchikan, AK 99901-5953
Phone: (201) 259-0289
Fax: (973) 215-2052

Authorised official

Name: Kevin Arthur Hall
Title: Owner
Phone: (201) 259-0289

Registered specialties

Meals Provider Primary

Other Service Providers Taxonomy 174200000X

Other Meals providers in Alaska →

Registry record

NPI: 1114736899
Entity type: Organization
NPI issued: 6 Jan 2025
Record last updated: 6 Jan 2025

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.