Autumn Sunrise

LBN: Moose Shack Coffee
Autumn Sunrise is an health care organization with primary practice located at 19216 Citation Rd , Eagle River AK 99577-8416. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Moose Shack Coffee can be contacted via phone (907) 351-0569, or through Bishop, Candis Denise via phone (907) 351-0569.

Contact Information

Primary practice address
19216 Citation Rd Eagle River AK 99577-8416
Phone: (907) 351-0569
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bishop, Candis Denise
Phone: (907) 351-0569

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 101077 Alaska

Profile Details

NPI number 1699962415
LBN Legal business name Moose Shack Coffee
DBA Doing business as Autumn Sunrise
Authorized official Bishop, Candis Denise
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2007
Last updated Sep 19th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699962415 NPPES
Alaska MEDICAID RL09771

Popular Providers