Basic Information
| Provider Information | |||||||||
| NPI: | 1720520026 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TWO SISTERS TOO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 413 N TIFFANY DR | ||||||||
| Address2: | |||||||||
| City: | PALMER | ||||||||
| State: | AK | ||||||||
| PostalCode: | 996458408 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9073762273 | ||||||||
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| Practice Location | |||||||||
| Address1: | 413 N. TIFFANY DR | ||||||||
| Address2: | |||||||||
| City: | PALMER | ||||||||
| State: | AK | ||||||||
| PostalCode: | 99645 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9073762273 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/17/2016 | ||||||||
| LastUpdateDate: | 11/17/2016 | ||||||||
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| AuthorizedOfficialLastName: | BRADSHAW | ||||||||
| AuthorizedOfficialFirstName: | JULIE | ||||||||
| AuthorizedOfficialMiddleName: | ANN | ||||||||
| AuthorizedOfficialTitleorPosition: | ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 9073762273 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 310400000X | 101175 | AK | Y | Nursing & Custodial Care Facilities | Assisted Living Facility |
No ID Information.