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General NPI Number Information
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NPI Number | 1609799444
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Entity Type | Organization
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Legal Business Name | KACHEMAK HOUSE LLC
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Dates
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Enumeration Date | 07/30/2026
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Last Update Date | 07/30/2026
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Provider Practice Location Address
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Address Line | 139 SKYLINE DRIVE
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City | HOMER
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State | AK
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Zip | 99603
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Country | US
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Telephone | 907-795-9050
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 579
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City | HOMER
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State | AK
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Zip | 99603-0579
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Country | US
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Telephone | 907-795-9050
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Fax |
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Authorized Official
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Title or Position | MANAGER, MEMBER
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Name | ABIGAIL O'CONNOR
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Credential |
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Telephone | 907-795-9050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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