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Organization

CHRISTIAN COTTAGES 1

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. OFELIA ISENIA GUIEL (ADMINISTRATOR)
(907) 250-6089
Entity
Organization

Contact information

Practice address
8301 E 11TH CT, ANCHORAGE, AK 99504-2210
(907) 333-0556
(907) 338-8164
Mailing address
8301 E 11TH CT, ANCHORAGE, AK 99504-2210
(907) 333-0556
(907) 338-8164

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
000170
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
RL23732
AK
Enumeration date
04/11/2007
Last updated
07/17/2008
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