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Organization
BIG HEARTS ALASKA ALH, LLC
Active
Organization
BIG HEARTS ALASKA ALH, LLC
Active
Other names
Big Hearts Alaska ALH
Organization subpart
No
Provider details
NPI number
Authorized official
ANNABELLE FANGONILO (ADMINISTRATOR)
(907) 942-5366
Entity
Organization
Contact information
Practice address
9180 APHRODITE DR, ANCHORAGE, AK 99515-1499
(907) 942-5366
Mailing address
2100 MINERVA WAY UNIT 1A, ANCHORAGE, AK 99515-1474
(907) 942-5366
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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