# HERITAGE ASSISTED LIVING HOME LLC

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

## Provider details

- **NPI number:** 1336694223
- **Authorized official:** MOLLY BATES (OWNER)
- **Authorized official phone:** (907) 868-1887

## Contact information

- **Practice address:** 6754 OBRIEN ST, ANCHORAGE, AK 99507-2184
- **Practice address phone:** (907) 868-1887
- **Mailing address:** PO BOX 231253, ANCHORAGE, AK 99523-1253
- **Mailing address phone:** (907) 868-1887
- **Mailing address fax:** (907) 868-1887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 100927 | AK | Yes |

## Other

- **Enumeration date:** 08/20/2016
- **Last updated:** 08/20/2016