# HEART OF ALASKA HOMECARE ALH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ANGELO OCAMPO
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215266986
- **Authorized official:** ANGELO MEDINA OCAMPO (ADMINISTRATOR)
- **Authorized official phone:** (907) 230-1065

## Contact information

- **Practice address:** 3406 MCKENZIE DR, ANCHORAGE, AK 99517-1653
- **Practice address phone:** (907) 929-9382
- **Practice address fax:** (907) 337-1190
- **Mailing address:** 5950 KODY DR, ANCHORAGE, AK 99504-5307
- **Mailing address phone:** (907) 230-1065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 931680 | AK | Yes |

## Other

- **Enumeration date:** 12/09/2009
- **Last updated:** 12/09/2009