Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Moose Shack Coffee

Organization Assisted Living Facility · NPI 1699962415

Moose Shack Coffee is an Assisted Living Facility in Eagle River, Alaska. Licensed in Alaska. Registered with an NPI since 2007.

Licensed in
AK
In the registry since
2007

Practice location Address checks out

19216 Citation Rd
Eagle River, AK 99577-8416
Phone: (907) 351-0569
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 101077 (AK)

Record details

NPI number1699962415
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Candis Bishop — Owner · (907) 351-0569
Other names Autumn Sunrise
NPI enumeratedSeptember 25, 2007
Last updated in NPPESSeptember 19, 2014
Mailing address7531 Randamar Pl, Anchorage, AK 99507-5718

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