Organization
ST MARY'S ASSISTED LIVING HOME #2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA PARONE GAUTHIER (ADMINISTRATOR)
(907) 349-0446
Entity
Organization
Contact information
Practice address
4001 E 3RD AVE, ANCHORAGE, AK 99508-2106
(907) 929-1588
Mailing address
4001 E 3RD AVE, ANCHORAGE, AK 99508-2106
(907) 929-1588
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100566
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL56791
—
AK
Enumeration date
10/18/2008
Last updated
10/18/2008
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