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

MOOSE SHACK COFFEE

Active Organization

MOOSE SHACK COFFEE is a Assisted Living Facility organization located in EAGLE RIVER, Alaska. NPI 1699962415 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · EAGLE RIVER, AK

Registration Details

NPI Number
1699962415
Provider Type
Organization
NPI Issued
Sep 25, 2007 (18.915665335838 yrs)
Last Updated
Sep 19, 2014
License
101077 (AK)

Practice Information

Address
19216 CITATION RD
EAGLE RIVER, AK, 995778416
Browse AK providers · Browse ZIP 99577
Phone
9073510569
Primary Specialty
Assisted Living Facility
310400000X

Other Assisted Living Facility Organizations in EAGLE RIVER, AK

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.