Organization · Type 2 NPI

Catholic Community Service

Meals Provider · Sitka, AK

NPI number 1205954492 Active

Practice location

402 Lake St
Sitka, AK 99835-7401

Call (907) 463-6149 Map

Mailing address

1803 Glacier Hwy
Juneau, AK 99801-7804

Specialties and licenses

Taxonomy	Code	License
Meals Provider Primary	174200000X	None listed
Case Management Agency	251B00000X	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.

NPI record

NPI: 1205954492
Entity type: Organization (Type 2)
Issued: Mar 26, 2007
Last updated: Mar 25, 2021
Status: Active

Other names

<unavail>
Swan Lake Senior Center · doing business as
Swan Lake Senior Center · doing business as

Authorized official

Jennifer Carson
HHCJ Director/compliance Officer
(907) 463-6162

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205954492

Catholic Community Service's National Provider Identifier is 1205954492, issued on Mar 26, 2007. The primary taxonomy on file is Meals Provider (174200000X), and the practice location is in Sitka, AK. The record was last updated on Mar 25, 2021.