# CARMELITE HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carmelite Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790035087
- **Authorized official:** AINA R FOWLER (ADMINISTRATOR/OWNER)
- **Authorized official phone:** (907) 336-1296

## Contact information

- **Practice address:** 9401 APHRODITE DR., ANCHORAGE, AK 99515
- **Practice address phone:** (907) 336-1296
- **Practice address fax:** (907) 336-1298
- **Mailing address:** 9401 APHRODITE DR., ANCHORAGE, AK 99515
- **Mailing address phone:** (907) 336-1296
- **Mailing address fax:** (907) 336-1298

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 100955 | AK | Yes |

## Other

- **Enumeration date:** 09/13/2012
- **Last updated:** 09/13/2012
