Organization · Type 2 NPI

Providence Kodiak Medical Center

Adult Care Home Facility · Kodiak, AK

NPI number 1306147434 Active

Practice location

1915 E Rezanof Dr
Kodiak, AK 99615-6602

Call (907) 486-3281 Map

Fax (907) 481-2497

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620X31478 (AK)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

35 other providers at this address

About NPI 1306147434

Providence Kodiak Medical Center's National Provider Identifier is 1306147434, issued on Nov 5, 2010. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Kodiak, AK. The record was last updated on May 15, 2025.