Individual provider · Type 1 NPI

Brenda Louise

Assisted Living Facility · Petersburg, AK

NPI number 1770128316 Active

Practice location

206 S 2nd
Petersburg, AK 99833

Mailing address

PO Box 1128
Petersburg, AK 99833-1128

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

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.

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About NPI 1770128316

Brenda Louise's National Provider Identifier is 1770128316, issued on Nov 7, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Petersburg, AK. The record was last updated on Nov 7, 2019.