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Organization

HOMESTEAD ASSISTED LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANIEL EMERSON THORNTON (ASSISTANT ADMINISTRATOR/OWNER)
(907) 745-9040
Entity
Organization

Contact information

Practice address
17635 E PINE NEEDLE WAY, PALMER, AK 99645-8275
(907) 745-9040
Mailing address
17635 E PINE NEEDLE WAY, PALMER, AK 99645-8275
(907) 745-9040

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100637
AK

Other

Enumeration date
01/22/2008
Last updated
01/22/2008
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