Organization
ELIJAS ASSISTED LIVING HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN AIKEY (ADMINISTRATOR MANAGER)
(907) 802-0380
Entity
Organization
Contact information
Practice address
1175 OCEANVIEW DR, ANCHORAGE, AK 99515-3906
(907) 802-0380
Mailing address
1175 OCEANVIEW DR, ANCHORAGE, AK 99515-3906
(907) 802-0380
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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