# HIBISCUS ASSISTED LIVING HOME LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1982116281
- **Authorized official:** MARIE AGUILAR (PRESIDENT)
- **Authorized official phone:** (907) 306-3414

## Contact information

- **Practice address:** 2701 WESLEYAN DR \# A, ANCHORAGE, AK 99508-3771
- **Practice address phone:** (907) 306-3414
- **Mailing address:** 2701 WESLEYAN DR \# A, ANCHORAGE, AK 99508-3771
- **Mailing address phone:** (907) 306-3414

## Taxonomy

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

## Other

- **Enumeration date:** 10/26/2017
- **Last updated:** 10/26/2017