{"npi":"1629109939","type":"NPI-2","status":"active","name":{"display":"Maniilaq Association Ksccc","other":[],"organization_name":"MANIILAQ ASSOCIATION KSCCC","authorised_official":"Kellie Haas"},"specialty":{"primary_taxonomy":"310400000X","primary_taxonomy_description":"Assisted Living Facility","slug":"assisted-living-facility-0000","schema_org_specialty":null,"all":[{"code":"310400000X","description":"Assisted Living Facility","primary":true,"state":"AK","license":"000063"}]},"addresses":[{"purpose":"LOCATION","street_1":"607 WOLVERINE DRIVE","city":"KOTZEBUE","state":"AK","postal_code":"997521073","country_code":"US","phone":"9074427917","fax":"9074427932"},{"purpose":"MAILING","street_1":"PO BOX 1073","city":"KOTZEBUE","state":"AK","postal_code":"997521073","country_code":"US","phone":"9074427917","fax":"9074427932"}],"license":{"state":"AK","number":"000063"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"RL3590","state":"AK","issuer":null},{"type_code":"05","label":"Medicaid","value":"CMG590","state":"AK","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-03-08","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}