Organization
THE MANOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELIA D DALHAUG (OWNER)
(907) 247-8748
Entity
Organization
Contact information
Practice address
250 HECKMAN ST, KETCHIKAN, AK 99901-5511
(907) 247-8748
(907) 247-8747
Mailing address
250 HECKMAN ST, PO BOX 8163, KETCHIKAN, AK 99901-5511
(907) 247-8748
(907) 247-8747
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL8080
—
AK
Enumeration date
03/12/2007
Last updated
08/22/2020
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