Organization
KEIKI 4
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RENE ALLAN FRANCISCO RN (ADMINISTRATOR)
(907) 677-0378
Entity
Organization
Contact information
Practice address
2634C CARROLL PL, ANCHORAGE, AK 99508-3821
(907) 677-0378
(907) 929-3494
Mailing address
2634C CARROLL PL, ANCHORAGE, AK 99508-3821
(907) 677-0378
(907) 929-3494
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100578
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL 07243
—
AK
Enumeration date
05/30/2007
Last updated
06/30/2008
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