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Organization

PADRE PIO ASSISTED LIVING HOME

Active
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Organization

PADRE PIO ASSISTED LIVING HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRYAN BUO BOLO (ADMINISTRATOR)
(907) 350-2375
Entity
Organization

Contact information

Practice address
8423 DUNLAP CT, ANCHORAGE, AK 99504-1475
(907) 350-2375
(907) 222-4886
Mailing address
8423 DUNLAP CT, ANCHORAGE, AK 99504-1475
(907) 350-2375
(907) 222-4886

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
101197
AK

Other

Enumeration date
01/30/2018
Last updated
01/30/2018
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