OrganizationActive
Tides LLC
NPI 1558765602 · Developmentally Disabled Services Day Training Agency · Juneau, AK
Provider details
- NPI number
- 1558765602
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Nicole Franzoni, Administrator(907) 723-0339
- License
- 1007677 (AK)
Specialties & taxonomies
Agencies
Practice location
3110 Nowell Ave
Juneau, AK 99801-1932
Phone: (907) 723-0339
Approximate (ZIP-level) locationGet directions
Mailing address
3110 Nowell Ave
Juneau, AK 99801-1932
Registry dates
- Enumerated
- 2014-10-17
- Last updated
- 2014-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.