Organization
ROCKNG YEARS TWO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MASSON (OWNER/ADMINISTRATOR)
(907) 451-0806
Entity
Organization
Contact information
Practice address
3291 JEFFERSON DR, FAIRBANKS, AK 99709-5037
(907) 451-0806
Mailing address
1913 JACK ST, FAIRBANKS, AK 99709-4111
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100576
AK
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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