Organization
TIMBERBERRY ALH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL GERSHEL RN (ADMINISTRATOR)
(907) 274-9099
Entity
Organization
Contact information
Practice address
17141 BARONOFF AVE, EAGLE RIVER, AK 99577-8139
(907) 696-2233
Mailing address
PO BOX 771772, EAGLE RIVER, AK 99577-1772
(907) 274-9099
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100997
AK
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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