Organization
BRENTWOOD ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALIAS LAKE ANDREWS (OWNER/ADMINISTRATOR)
(909) 750-0292
Entity
Organization
Contact information
Practice address
3408 N STAR ST, ANCHORAGE, AK 99503-4539
(909) 750-0292
Mailing address
3408 N STAR ST, ANCHORAGE, AK 99503-4539
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
05/25/2024
Last updated
05/25/2024
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