Organization
ABRA ASSISTED LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MERLO ISANG LLANEZA SR. (OWNER/ADMINITRATION)
(907) 522-0564
Entity
Organization
Contact information
Practice address
1609 BETULA CIR, CIR, ANCHORAGE, AK 99507-4126
(907) 522-0564
(907) 929-7793
Mailing address
1609 BETULA CIRCCLE, ANCHORAGE, AK 99507-4126
(907) 522-0564
(907) 929-7793
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
100875
AK
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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