PETERSBURG BOROUGH NPI 1023132784

NPI Information

PETERSBURG BOROUGH is an assisted living facility in Petersburg, AK. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. PETERSBURG BOROUGH NPI is 1023132784. The provider is registered as an organization entity type.

The provider's business location address is:

16 NORTH 12TH STREET
PETERSBURG, AK
ZIP 99833-000
Phone: (907) 772-3445
Fax: (907) 772-4217

The provider's authorized official is Shelyn Marie Bell .
The authorized official title is Director/administrator and has the following contact phone number (907) 772-2445.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 12/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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