# BIG HEARTS ALASKA ALH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Big Hearts Alaska ALH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497390439
- **Authorized official:** ANNABELLE FANGONILO (ADMINISTRATOR)
- **Authorized official phone:** (907) 942-5366

## Contact information

- **Practice address:** 9180 APHRODITE DR, ANCHORAGE, AK 99515-1499
- **Practice address phone:** (907) 942-5366
- **Mailing address:** 2100 MINERVA WAY UNIT 1A, ANCHORAGE, AK 99515-1474
- **Mailing address phone:** (907) 942-5366

## Taxonomy

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

## Other

- **Enumeration date:** 11/13/2019
- **Last updated:** 11/13/2019