Organization · Type 2 NPI
Bountiful
Meals Provider · Ketchikan, AK
NPI number
1114736899
Active
Practice location
25 Jefferson Way Ste 102
Ketchikan, AK 99901-5953
Fax (973) 215-2052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Meals Provider Primary | 174200000X | None listed |
Meals Provider: A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
Other meals provider providers in Ketchikan
About NPI 1114736899
Bountiful's National Provider Identifier is 1114736899, issued on Jan 6, 2025. The primary taxonomy on file is Meals Provider (174200000X), and the practice location is in Ketchikan, AK. The record was last updated on Jan 6, 2025.