Organization
ROCKINGHAM ASSISTED LIVING, LLC
Active
Other names
Fancy Moose Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
LISA STEVENS (ADMINISTRATOR DESIGNEE)
(907) 230-5205
Entity
Organization
Contact information
Practice address
705 W 47TH AVE, ANCHORAGE, AK 99503-7111
(907) 222-3896
(907) 222-3965
Mailing address
705 W 47TH AVE, ANCHORAGE, AK 99503-7111
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100908
AK
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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