Provider Demographics
NPI:1316148703
Name:STERLING AREA SENIOR CITIZENS, INC.
Entity type:Organization
Organization Name:STERLING AREA SENIOR CITIZENS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:ELSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-262-6808
Mailing Address - Street 1:34453 STERLING HIGHWAY
Mailing Address - Street 2:P O BOX 154
Mailing Address - City:STERLING
Mailing Address - State:AK
Mailing Address - Zip Code:99672
Mailing Address - Country:US
Mailing Address - Phone:907-262-6808
Mailing Address - Fax:907-262-3883
Practice Address - Street 1:34453 STERLING HIGHWAY
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:AK
Practice Address - Zip Code:99672
Practice Address - Country:US
Practice Address - Phone:907-262-6808
Practice Address - Fax:907-262-3883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK299840251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKHC3445Medicaid