Organization
DIVINE HAVEN ASSISTED LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDDY M CATALAN C.N.A. (ADMINISTRATOR)
(907) 317-5080
Entity
Organization
Contact information
Practice address
1961 NORENE ST, ANCHORAGE, AK 99508-3447
(907) 317-5080
(907) 334-8057
Mailing address
1509 N HEATHER MEADOWS LOOP, ANCHORAGE, AK 99507-3866
(907) 317-5080
(907) 334-8057
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100475
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL2862
—
AK
Enumeration date
03/02/2007
Last updated
07/17/2007
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