# ELAINE'S PLACE

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

## Provider details

- **NPI number:** 1932482619
- **Authorized official:** MRS. MELISSA D HUTCHENS-ETHEREDGE (OWNER)
- **Authorized official phone:** (907) 677-6375

## Contact information

- **Practice address:** 1025 H ST, ANCHORAGE, AK 99501-3430
- **Practice address phone:** (907) 677-6375
- **Practice address fax:** (907) 677-6374
- **Mailing address:** 1025 H ST, ANCHORAGE, AK 99501-3430
- **Mailing address phone:** (907) 677-6375
- **Mailing address fax:** (907) 677-6374

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 100529 | AK | Yes |

## Other

- **Enumeration date:** 09/20/2011
- **Last updated:** 09/10/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1030313 | — | AK |