Bountiful
Bountiful is a Meals Provider in Ketchikan, Alaska. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
25 Jefferson Way Ste 102Ketchikan, AK 99901-5953
Phone: (201) 259-0289
Fax: (973) 215-2052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Meals Provider (primary) | Taxonomy 174200000X |
|---|
Record details
| NPI number | 1114736899 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kevin Hall — Owner · (201) 259-0289 |
| Other names | Capitolmed Llc Dba Polaris Healthcare |
| NPI enumerated | January 6, 2025 |
| Last updated in NPPES | January 6, 2025 |
| Certification date | January 6, 2025 |
| Mailing address | 25 Jefferson Way Ste 102, Ketchikan, AK 99901-5953 |
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