Organization
GLORIOUS LIFE ALH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSALINDA A. CRUSE (OWNER)
(907) 622-4127
Entity
Organization
Contact information
Practice address
16641 MARCUS ST, EAGLE RIVER, AK 99577-7677
(907) 622-4127
(907) 622-4128
Mailing address
16641 MARCUS ST, EAGLE RIVER, AK 99577-7677
(907) 622-4127
(907) 622-4128
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100438
AK
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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