Provider Demographics
NPI:1265015531
Name:NATIVE VILLAGE OF UNALAKLEET
Entity Type:Organization
Organization Name:NATIVE VILLAGE OF UNALAKLEET
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:KATCHATAG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-624-3622
Mailing Address - Street 1:270 MARTHA ANAGICK AARONS SUBDIVISION
Mailing Address - Street 2:270 MAIN STREET
Mailing Address - City:UNALAKLEET
Mailing Address - State:AK
Mailing Address - Zip Code:99684
Mailing Address - Country:US
Mailing Address - Phone:907-624-3622
Mailing Address - Fax:907-624-3621
Practice Address - Street 1:MARTHA 'QAMUQIN' ANAGICK AARONS SUBDIVISION, ADDITION 1
Practice Address - Street 2:
Practice Address - City:UNALAKLEET
Practice Address - State:AK
Practice Address - Zip Code:99684
Practice Address - Country:US
Practice Address - Phone:907-624-3622
Practice Address - Fax:907-624-3621
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NATIVE VILLAGE OF UNALAKLEET
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-04
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility