# ABRA ASSISTED LIVING HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063702546
- **Authorized official:** MR. MERLO ISANG LLANEZA SR. (OWNER/ADMINITRATION)
- **Authorized official phone:** (907) 522-0564

## Contact information

- **Practice address:** 1609 BETULA CIR, CIR, ANCHORAGE, AK 99507-4126
- **Practice address phone:** (907) 522-0564
- **Practice address fax:** (907) 929-7793
- **Mailing address:** 1609 BETULA CIRCCLE, ANCHORAGE, AK 99507-4126
- **Mailing address phone:** (907) 522-0564
- **Mailing address fax:** (907) 929-7793

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 100875 | AK | Yes |

## Other

- **Enumeration date:** 04/18/2011
- **Last updated:** 04/18/2011