# LECRIS HAVEN ASSISTED LIVING HOME

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

## Provider details

- **NPI number:** 1093986721
- **Authorized official:** CRISALYN BUENARTE B RUIZ (ADMINISTRATOR)
- **Authorized official phone:** (907) 306-2054

## Contact information

- **Practice address:** 2108 W 47TH AVE, ANCHORAGE, AK 99517-3165
- **Practice address phone:** (907) 770-5915
- **Practice address fax:** (907) 677-0974
- **Mailing address:** 3541 CORONA CIR, ANCHORAGE, AK 99517-1486
- **Mailing address phone:** (907) 306-2054
- **Mailing address fax:** (907) 677-0974

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 100656 | AK | Yes |

## Other

- **Enumeration date:** 03/20/2008
- **Last updated:** 07/02/2008