Organization · Type 2 NPI

Moose Shack Coffee

Assisted Living Facility · Eagle River, AK

NPI number 1699962415 Active

Practice location

19216 Citation Rd
Eagle River, AK 99577-8416

Call (907) 351-0569 Map

Mailing address

7531 Randamar Pl
Anchorage, AK 99507-5718

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X101077 (AK)

Assisted Living Facility: 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.

3 other providers at this address

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About NPI 1699962415

Moose Shack Coffee's National Provider Identifier is 1699962415, issued on Sep 25, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Eagle River, AK. The record was last updated on Sep 19, 2014.