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Organization
LECRIS HAVEN ASSISTED LIVING HOME
Active
Organization
LECRIS HAVEN ASSISTED LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISALYN BUENARTE B RUIZ (ADMINISTRATOR)
(907) 306-2054
Entity
Organization
Contact information
Practice address
2108 W 47TH AVE, ANCHORAGE, AK 99517-3165
(907) 770-5915
(907) 677-0974
Mailing address
3541 CORONA CIR, ANCHORAGE, AK 99517-1486
(907) 306-2054
(907) 677-0974
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
100656
AK
Other
Enumeration date
03/20/2008
Last updated
07/02/2008
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