Provider Demographics
NPI:1215697545
Name:STOEBNER ENTERPRISES LIMITED
Entity type:Organization
Organization Name:STOEBNER ENTERPRISES LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GLADYS
Authorized Official - Middle Name:
Authorized Official - Last Name:STOEBNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-202-4427
Mailing Address - Street 1:3821 CARLETON AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99517-1550
Mailing Address - Country:US
Mailing Address - Phone:907-202-4427
Mailing Address - Fax:
Practice Address - Street 1:3713 ROBIN ST
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-4674
Practice Address - Country:US
Practice Address - Phone:907-202-4427
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-28
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376G00000XNursing Service Related ProvidersNursing Home AdministratorGroup - Single Specialty