# ABUELITA ALH, LLC

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

## Provider details

- **NPI number:** 1144509365
- **Authorized official:** GRICELDA CLORINDA VALENCIA (PRESIDENT, ADMINISTRATOR)
- **Authorized official phone:** (907) 350-6585

## Contact information

- **Practice address:** 1105 SAN ANTONIO ST, ANCHORAGE, AK 99508-2764
- **Practice address phone:** (907) 350-6585
- **Practice address fax:** (907) 272-4291
- **Mailing address:** 1105 SAN ANTONIO ST, ANCHORAGE, AK 99508-2764
- **Mailing address phone:** (907) 350-6585
- **Mailing address fax:** (907) 272-4291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 949703 | AK | Yes |

## Other

- **Enumeration date:** 08/04/2011
- **Last updated:** 08/04/2011
