NPI 1558686634
Alaskan Sourdough Enterprises
Practice location
- Address
- 225 Phillips Dr, Kenai, AK 99611-8447
- Phone
- (907) 335-0559
- Mailing address
- 225 Phillips Dr., Kenai, AK 99611-8447
Authorised official
- Name
- Vincent Malone Johnson
- Title
- Owner
- Phone
- (907) 335-0559
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1558686634
- Entity type
- Organization
- NPI issued
- 1 Apr 2010
- Record last updated
- 1 Apr 2010
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.