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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BONITA R QUALE

Active Sole Proprietor

BONITA R QUALE is a Assisted Living Facility healthcare provider located in KENAI, Alaska. NPI 1396878880 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · KENAI, AK

Registration Details

NPI Number
1396878880
Provider Type
Individual
Gender
Female
NPI Issued
Mar 13, 2007 (19.455383670887 yrs)
Last Updated
Aug 31, 2007
Licenses
100608 (AK)
224 (AK)
Sole Proprietor
Yes

Practice Information

Address
47710 INTERLAKE DR
KENAI, AK, 996119694
Browse AK providers · Browse ZIP 99611
Phone
9077768684
Fax
9077768805
Primary Specialty
Assisted Living Facility
310400000X
Additional Specialty
Assisted Living Facility
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.