Facility Number:
25030
Name:
PROVIDENCE KODIAK ISLAND MED LTC
Type:
Nursing Home
Ownership:
Non profit - Corporation
Legal Business Name:
Legal Business Name Not Available
Location:
1915 E REZANOF DRIVE
KODIAK, AK 99615
Kodiak Island Borough County
KODIAK, AK 99615
Kodiak Island Borough County
Phone:
907-486-7800
License First Date:
9/20/1994
Complaint:
0
Facility Reported Incidents:
0
Number of Fines:
3
Number of Payment Denials:
0
Number of Penalties:
3
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